Visualization of perimembranous ventricular septal defect with ruptured sinus of Valsalva aneurysm by three-dimensional transesophageal echocardiography and multidetector three-dimensional computed tomography

2016 ◽  
Vol 15 (1) ◽  
pp. 37-38
Author(s):  
Keitaro Mahara ◽  
Mika Saito ◽  
Risa Fukumoto ◽  
Harutoshi Tamura ◽  
Hajime Kin ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Ventricular Septal Defect ◽  
Transesophageal Echocardiography ◽  
Septal Defect ◽  
Three Dimensional ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
Perimembranous Ventricular Septal Defect

scholarly journals The value of three-dimensional echocardiography in the diagnosis and management of ruptured sinus of Valsalva aneurysm: a case report

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Elias Daud ◽  
Tsafrir Or ◽  
Zvi Adler ◽  
Alexander Shturman
Keyword(s):  
Aortic Valve ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Epigastric Pain ◽  
Good Condition ◽  
Three Dimensional ◽  
Transoesophageal Echocardiography ◽  
Cardiac Anomaly ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm

Abstract Background  A sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly. Most SVA’s rupture into right heart chambers and can be classified using the modified Sakakibara classification according to the site of rupture. Transoesophageal echocardiography (TOE) is a useful diagnostic tool and aides in treatment planning in patients with congenital anomalies in emergency situations. Three-dimensional TOE (3D-TOE) provides additional value over standard TOE. Case summary A 38-year-old man with a reported history of ventricular septal defect (VSD) presented to the emergency department complaining of chest pain and epigastric pain lasting several days. Physical examination revealed a continuous heart murmur and signs of acute heart failure. A 3D-TOE revealed an SVA rupture into the right ventricle (Type IIIv) but no evidence of a VSD. Urgent aortic valve replacement with correction of the ruptured SVA was performed. Neither a VSD nor signs of endocarditis were found during surgical exploration. The patient was discharged on post-operative Day 5 in good condition. Discussion A sinus of Valsalva aneurysm is a rare cardiac condition. Ventricular septal defect, bicuspid aortic valve, or aortic valve regurgitation may coexist with SVA. Xin-Jin et al. classified a ruptured SVA into five types according to the site of rupture. Transoesophageal echocardiography is an important tool for diagnosis, anatomical description, and typing of the ruptured SVA. Sinus of Valsalva aneurysm may be misdiagnosed as a VSD, as was the case in our patient, and 3D-TOE can be instrumental for providing both correct diagnosis and critical surgical planning.

scholarly journals Ruptured Aneurysm of Sinus of the Valsalva: Case Series

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Afsaneh Sadeghian ◽  
Hakimeh Sadeghian
Keyword(s):  
Aortic Valve ◽  
Ventricular Septal Defect ◽  
Right Ventricle ◽  
Transesophageal Echocardiography ◽  
Aortic Regurgitation ◽  
Bicuspid Aortic Valve ◽  
Transthoracic Echocardiography ◽  
Septal Defect ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm

Introduction: We present three cases of ruptured sinus of Valsalva aneurysm concomitant with a cardiac lesion in 2 cases of ventricular septal defect and 1 case of bicuspid aortic valve with mild aortic insufficiency. Case presentation: In 2/3 cases, the site of ruptured sinus of Valsalva aneurysm originated from right coronary cusps and one from non-coronary cusps. Both ruptured sinus of Valsalva aneurysm from right coronary cusps communicated to right ventricle, and one that originated from non-coronary cusps ruptured to right atrium. All cases were diagnosed by transthoracic echocardiography and confirmed by transesophageal echocardiography. Two underwent the surgery, while one did not want to continue treatment. Conclusion: ruptured sinus of Valsalva aneurysm is a rare cardiac anomaly. In the Eastern countries, the most common associated anomalies with ruptured sinus of Valsalva aneurysm are ventricular septal defect and aortic regurgitation. Ruptured sinus of Valsalva aneurysm mainly originates from right coronary cusps and is ruptured into  right ventricle. Transthoracic echocardiography and transesophageal echocardiography are employed to confirm the diagnosis. In this cohort, the coexistences of ruptured sinus of Valsalva aneurysm with ventricular septal defect and aortic regurgitation (case 1), ventricular septal defect (case 2), aortic regurgitation and  bicuspid aortic valve  (case 3) are observed.

Classical Windsock Deformity of Ruptured Sinus of Valsalva Seen in Transesophageal Echocardiography

2012 ◽  
Vol 3 (2) ◽  
pp. 273-274
Author(s):  
Sanjay Gandhi ◽  
Ashish Asija ◽  
Ashok Chahal ◽  
Karampalc Singh ◽  
Naveen Malhotra ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Transesophageal Echocardiography ◽  
Male Patient ◽  
Septal Defect ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
Intraoperative Transesophageal Echocardiography

A 25-year-old male patient found to have ruptured sinus of Valsalva aneurysm with subpulmonic ventricular septal defect was repaired successfully. Intraoperative transesophageal echocardiography images showed classical windsock deformity.

Sign in / Sign up

Export Citation Format

Share Document