PMC10328123_01
Transthoracic echocardiogram showed elevated inflow gradient across the tricuspid valve. The mean gradient was increased to 27 mmHg
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Transthoracic echocardiogram was limited by poor acoustic window, but showed elevated inflow gradient across the tricuspid valve with the mean pressure of 27 mmHg [Figure 1]. The aortic valve was trileaflet; the right and left coronary leaflets were mildly thickened with vegetation [Figure 3 and Video 1].
TEE showed the right sinus of Valsalva aneurysm causing tricuspid inflow obstruction
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Before direct current cardioversion, transesophageal echocardiogram (TEE) was performed demonstrating a large 3 cm right SVpA causing tricuspid inflow obstruction [Figure 2].
TEE demonstrated mild thickening of the right and left coronary leaflets (arrows). TEE = Transesophageal echocardiogram
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The aortic valve was trileaflet; the right and left coronary leaflets were mildly thickened with vegetation [Figure 3 and Video 1].
Computed tomography reconstructed in the short axis confirmed a narrow-necked aneurysm arising from the right sinus of Valsalva. TEE = Transesophageal echocardiogram
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Cardiac computed tomography (CT) confirmed the echocardiographic findings [Figure 4] demonstrating a narrow-necked pseudoaneurysm arising from the right sinus of Valsalva measuring 3.1 cm (width) x3.5 cm (length) x2 cm (height).