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Eur J Cardiothorac Surg 1999;15:100-102
© 1999 Elsevier Science NL

Case report

Cardiac tamponade and death from intrapericardial of sinus of Valsalva aneurysm

^a The Toronto Congenital Cardiac Centre for Adults, The Toronto Hospital, University of Toronto, Toronto, Canada
^b Regional Forensic Pathology Unit, Hamilton Health Sciences Corporation, Hamilton, Ontario, Canada

Received 22 June 1998; received in revised form 26 October 1998; accepted 2 November 1998.

Corresponding author. The Toronto Hospital, 12EN, 200 Elizabeth St., Toronto, Ontario M5G 2C4, Canada. Tel.: +1-416-340-3709; 3872fax: +1-416-340-5014; e-mail: gatzoul@ibm.net

A 35-year-old woman presented with dyspnea and chest pain. She had a large aneurysm of the non-coronary sinus of Valsalva. Before her scheduled urgent surgery, the patient collapsed and died of cardiac tamponade secondary to intrapericardial rupture of the aneurysm. We would advocate urgent repair of this type of lesion to prevent such an outcome. We are aware of no other specificpublished reports addressing extracardiac rupture of non-coronary cuspthis type of aneurysms.

Key Words: Non-coronary sinus • Sinus of Valsalva aneurysm • Extracardiac rupture