Multimodality imaging-guided diagnosis of aortic annular avulsion with right coronary sinus pseudoaneurysm and aorto–left ventricular communication: a case report - Takeaways - MDSpire

Diagnosis of Aortic Annular Avulsion with Right Coronary Sinus Pseudoaneurysm and Aorto-Left Ventricular Communication Using Multimodal Imaging: A Case Study

  • By

  • Lin Gui

  • Jia-Guang Song

  • Mei Zhu

  • Hui-Hui Wang

  • Cheng-Wei Zou

  • July 21, 2026

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  • 1

    Aortic annular avulsion with a right coronary sinus pseudoaneurysm is a rare and life-threatening cardiac condition.

  • 2

    Multimodal imaging, including TTE, CCTA, and CMR, is essential for accurate diagnosis and surgical planning in complex cases.

  • 3

    The case involved a 42-year-old woman with progressive dyspnea and a pseudoaneurysm identified through various imaging techniques.

  • 4

    The patient underwent surgical repair and aortic valve replacement but experienced a recurrence of the pseudoaneurysm at 6 months.

  • 5

    Despite initial favorable recovery, the patient declined further surgery and died 8 months postoperatively.

Original Source(s)

Multimodality imaging-guided diagnosis of aortic annular avulsion with right coronary sinus pseudoaneurysm and aorto–left ventricular communication: a case report

  • by Lin Gui, Jia-Guang Song, Mei Zhu, Hui-Hui Wang, Cheng-Wei Zou

  • July 21, 2026

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