CTICasesSinus of Valsalva Aneurysm
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Imaging findings
A patient with a bicuspid aortic valve and prior repair of an ascending aortic aneurysm underwent CTA for suspected aortic root dilation. The scan revealed an outpouching originating inferior to the aortic annulus, bulging into the membranous interventricular septum. This outpouching could be traced superiorly to a rudimentary sinus of Valsalva.
Key takeaways
This case provides a nice illustration of a sinus of Valsalva aneurysm, especially in a patient with a bicuspid aortic valve. The aneurysm presented as an outpouching inferior to the aortic annulus, communicating with a rudimentary sinus, highlighting the importance of thorough evaluation of the aortic root in patients with associated congenital heart defects.
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