Advanced Ultrasound in Diagnosis and Therapy ›› 2020, Vol. 4 ›› Issue (1): 24-25.doi: 10.37015/AUDT.2020.190031

• Case Report • Previous Articles    

Rare Giant Goronary Sinus Aneurysm with Aortic Dissection: A Case Report

Jing Ma, PhDa, Tao Ma, MDb, Jianmin Lu, MDa, Xiangke Ma, PhDc,*()   

  1. a Department of Echocardiography, Shanghai Xuhui Central Hospital, Zhongshan-Xuhui Hospital, Fudan University, Shanghai, China
    b Changzhi Medical College, Jiefangdong Road 161, Changzhi, China
    c Department of Neurosurgery, Beijing Chaoyang Hospital, Capital Medical University, Jingyuan Road 5, Beijing, China
  • Received:2019-01-02 Online:2020-03-30 Published:2020-03-23
  • Contact: Xiangke Ma, PhD, E-mail:maxiangke08@163.com

Abstract:

Aortic sinus aneurysm is a rare congenital malformation. During the embryonic period, dysplasia occurs in the middle elastic fiber of the aortic sinus wall and insufficient fusion occurs in the aortic valve annulus. Long-term high blood pressure can damage these weak compositions, leading to possible rupture and dissection of sinus aneurysms under a certain extreme hypertension. We report a rare case of giant coronary sinus aneurysm with intimal tear and aortic dissection that was detected by using transthoracic and transesophageal echocardiography.

Key words: Dissection; Goronary sinus aneurysm rupture; Hypertension