Work

Isolated Saccular Pseudoaneurysm of Left Sinus of Valsalva Post Angioplasty: Role of Multimodal Imaging in Diagnosis and Management

Year: 2026

Type: article

Abstract: The sinus of Valsalva pseudoaneurysm is an exceedingly uncommon disorder characterized by severe pathological dilatation of the aortic root sinus, resulting in an aberrant accumulation of blood inside a false lumen subsequent to an intimal rupture. Typically, it originates from the right or non-coronary sinus, while involvement of the left sinus of Valsalva is exceedingly rare. This syndrome may be either congenital or acquired as a result of infection, trauma, or during catheter-based percutaneous procedures or surgery. If untreated, life-threatening aorto-cavitary fistulae involving neighboring heart chambers may occur. We present here a rare case of a 67-year-old patient who acquired an iatrogenic isolated left coronary sinus pseudoaneurysm following percutaneous angioplasty. Multi-modal imaging was employed to ascertain the pathology and devise the surgical plan. Intra-operative transesophageal echocardiography directed the surgical approach and validated the sufficiency of the surgical repair.

Source: Journal of Cardiac Critical Care TSS

DOI: 10.25259/jccc_16_2025

Authors: Manasi Baranwal, Jitin Narula, Sunil Dhole, Hemant Chandel

Institution: Fortis Escorts Heart Institute

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W7127139910