Rupture of right sinus of Valsalva aneurysm into the pulmonary artery

Kazumasa Tsuda, Masaaki Koide, Yoshifumi Kunii, Kazumasa Watanabe, Satoshi Miyairi, Yuko Ohashi, Takashi Harada

Research output: Contribution to journalArticlepeer-review


Rupture of a sinus of Valsalva aneurysm is an uncommon lesion that can occur in any cardiac chamber since the aortic valve occupies a central position in the base of the heart. However, rupture into the pulmonary artery is extremely rare. We describe a case of rupture of an aneurysm of right sinus of Valsalva into the pulmonary artery of a 51-year-old woman. She had been treated by patch closure of a sub-pulmonary ventricular septal defect and aortic valve replacement due to right coronary cusp prolapse 26 years previously. A massive shunt from Valsalva sinus into pulmonary artery indicated the need of radical operation. The defect in the pulmonary artery wall was closed through a pulmonary arteriotomy with a satisfactory outcome. As far as we know, a case of rupture of a sinus of Valsalva aneurysm into pulmonary artery after the previous operation for VSD has not been reported.

Original languageEnglish (US)
Pages (from-to)52-55
Number of pages4
JournalGeneral Thoracic and Cardiovascular Surgery
Issue number1
StatePublished - Jan 2015
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2013, The Japanese Association for Thoracic Surgery.


  • Acute dyspnea
  • Bentall operation
  • Shunt
  • Ventricular septal defect


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