Concepedia

Publication | Closed Access

[An autopsy case of the sinus of Valsalva aneurysm involved with tuberculous inflammation, leading to complete heart block].

10

Citations

0

References

1993

Year

Y Matsumoto, T Kubo, Hitoshi Tagawa, H Ando, Seiji Higuchi, I Ogata, Toshiaki Ashihara, Takeshi Fukuyama, H Daimaru, K. Kume
PubMed

Abstract

A case is presented of unruptured aneurysm of the non coronary sinus of Valsalva, causing involvement of A-V node and right coronary artery compression. The patient was a 68 year-old woman with a complaint of general fatigue. Electrocardiogram showed complete A-V block. Computed tomography showed an aneurysm of the non coronary sinus of Valsalva. A temporary pacemaker was implanted, but the patient developed respiratory failure and heart failure and died. At autopsy, macroscopically disseminated tuberculosis was noted in both lungs and kidneys. Microscopically a tuberculous inflammatory lesion extending into the A-V node was found. We report this rare case with some consideration of the literature.