Multiple Organ Dysfunction Caused by a Ruptured Aortic Sinus Aneurysm: A
Case Report
Abstract
Background: Aortic sinus aneurysms are congenital malformations that
include left, right, and non-coronary sinus aneurysms. Rupture of
non-coronary sinus aneurysms is rare; however, the scope of
complications may not be fully understood due to the rarity of this
situation. This report presents a rare case of multiple organ
dysfunction caused by a ruptured non-coronary sinus aneurysm. To the
best of our knowledge, no relevant report has been published on aortic
sinus aneurysms that lead to multiple organ dysfunction. Case report: A
26-year-old woman presented with cough, sputum, nausea, and vomiting
over three days. Computed tomography revealed thickening of the right
lung texture and right pleural effusion. No obvious abnormality was
found on cardiac ultrasound. After admission, the patient’s symptoms
worsened, and her heart, liver, and kidney functions gradually
deteriorated. After a physical examination and cardiac ultrasound
examination, it was discovered that the aorta had a non-coronary sinus
rupture that entered the right atrium. On the basis of these findings,
we surgically repaired the aortic sinus, resulting in the patient’s
dramatic recovery. The heart, liver, and kidney functions dramatically
improved. Conclusion: A ruptured aortic sinus aneurysm can induce heart,
liver, and kidney dysfunction or even failure, and this multi-organ
dysfunction can be alleviated by repairing the ruptured aortic sinus
aneurysm. After a ruptured aortic sinus aneurysm has been identified,
surgery should be performed as soon as possible to prevent further
complications.