Figure 3 coronary angiogram showed the main trunk and the
branch of left coronary artery was clear with no stenosis, the right
coronary artery showed slightly stenosis. (LCA, left coronary artery;
LAD, left anterior descending artery; LCX, left circumflex artery; RCA,
right coronary artery)
In conclusion, the diagnosis was confirmed using multimodality imaging.
The final diagnosis was ruptured sinus of Valsalva aneurysm,
paravalvular aortic root pseudoaneurysm and interventricular septal
dissecting aneurysm. The diagnosis was confirmed intraoperatively, and
he underwent the modified Cabrol procedure cardiac surgery, repaired
ruptured SOV aneurysm and closured the communication of the
pseudoaneurysm with Dacron patching.
On the postoperative follow-up, TTE (Figure 4,Movie s7) demonstrated
that the mentioned cystic cavity was separated by a
solid component (thrombus organization) and color doppler did not detect
communication with aortic
artificial blood
vessel.One month after operation, TTE was almost
impossible to detect the mentioned cystic cavity. The prosthetic aortic
valve worked normally and artificial
blood vessel kept patency.