[An autopsy case of the sinus of Valsalva aneurysm involved with tuberculous inflammation, leading to complete heart block]

Kokyu To Junkan. 1993 Sep;41(9):911-5.
[Article in Japanese]


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.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aged
  • Aortic Aneurysm / complications*
  • Aortic Aneurysm / diagnosis
  • Aortic Aneurysm / pathology
  • Autopsy
  • Female
  • Heart Block / diagnosis
  • Heart Block / etiology*
  • Heart Block / pathology
  • Humans
  • Sinus of Valsalva*
  • Tuberculosis, Miliary / complications*
  • Tuberculosis, Miliary / pathology