An autopsy case of the sinus of Valsalva aneurysm involved with tuberculous inflammation, leading to complete heart block |
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Authors: | Y Matsumoto T Kubo H Tagawa H Ando S Higuchi I Ogata T Ashihara T Fukuyama H Daimaru K Kume |
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Affiliation: | Department of Cardiology, Matsuyama Red Cross Hospital. |
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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. |
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