Author(s)

Prerit Agarwal¹, Ankit Jain¹, Pawan Singh¹, Harpreet Singh¹, Muhammad Abid Geelani¹, Vimal Mehta²

¹Department of Cardiothoracic and Vascular Surgery, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, Delhi University, New Delhi, India.
²Department of Cardiology, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, Delhi University, New Delhi, India.

A sinus of Valsalva aneurysm (SOVA) is abnormal dilatation of the either aortic sinuses, area of the aortic root between the aortic valve annulus and the sinotubular junction. Their clinical presentation may range from being asymptomatic as an incidental finding on cardiac imaging to symptomatic presentations related to the compression of adjoining structures or intracardiac shunting caused by rupture of the SOVA mostly into the right side of the heart. The compression leads to findings of tricuspid valve regurgitation, right ventricular outflow tract (RVOT) obstruction and rarely complete heart block (CHB). Dissection or erosion into interventricular septum is one of the rarest complications of SOVA. The symptomatic presentation is almost always a surgical emergency. Here we present a case report of a patient with unruptured sinus of valsalva originating from right sinus dissecting into interventricular septum causing complete heart bock. In this case after surgical correction the complete heart block reverted to sinus rhythm.

Sinus of Valsalva Aneurysm (SOVA), Complete Heart Block (CHB)

Agarwal, P. , Jain, A. , Singh, P. , Singh, H. , Geelani, M. and Mehta, V. (2018) Unruptured Right Sinus of Valsalva Aneurysm Dissecting into Interventricular Septum Causing Complete Heart Block: Can Early Surgical Correction Revert Rhythm Disturbances?. World Journal of Cardiovascular Diseases, 8, 353-359. doi: 10.4236/wjcd.2018.87034.