A case of ruptured giant sinus of Valsalva aneurysm into the right ventricle in a patient with both atrial and ventricular septal defects

2021 ◽  
Author(s):  
Mohammed Mhanna ◽  
Azizullah Beran ◽  
Zeid Nesheiwat ◽  
Joseph Eid ◽  
Modar Alom ◽  
...  
Keyword(s):  
Right Ventricle ◽  
Sinus Of Valsalva ◽  
Ventricular Septal Defects ◽  
Sinus Of Valsalva Aneurysm ◽  
Septal Defects ◽  
The Right

scholarly journals An adult patient with ruptured sinus of Valsalva aneurysm to the right ventricle

2013 ◽  
Vol 2013 (jan30 1) ◽  
pp. bcr2012008184-bcr2012008184 ◽  
Author(s):  
Z. Isilak ◽  
O. S. Deveci ◽  
M. Yalcin ◽  
M. Incedayi
Keyword(s):  
Right Ventricle ◽  
Adult Patient ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
The Right

The echocardiographic anatomy of ventricular septal defects

1997 ◽  
Vol 7 (4) ◽  
pp. 471-484 ◽  
Author(s):  
Michael A. Gatzoulis ◽  
Jia Li ◽  
Siew Yen Ho
Keyword(s):  
Right Ventricle ◽  
Atrioventricular Conduction ◽  
Ventricular Septal Defects ◽  
Cross Sectional ◽  
Septal Defects ◽  
Echocardiographic Images ◽  
The Right ◽  
Descriptive Method ◽  
Membranous Septum

AbstractMany of the controversies surrounding the description of ventricular septal defects arise from differences in the perspectives from which they are viewed. In this review, we analyse these defects as seen in cross-sectional echocardiographic images, correlating them with morphologic specimens. The classification we advocate, which now has a suitable pedigree, is a simple descriptive method distinguishing between perimembranous, muscular, and doubly committed types of defects. The approach is to categorise the defects as seen from the right ventricle, the usual port of access for surgeons. The term ‘perimembranous’ highlights the proximity of the atrioventricular conduction axis to the margin of the defects in which the remnant of the membranous septum forms a direct border. This system is applicable to all interventricular communications, no matter how malformed the heart may be in which they are enclosed.

Holes and channels between the ventricles revisited

2014 ◽  
Vol 25 (6) ◽  
pp. 1099-1110 ◽  
Author(s):  
Adrian Crucean ◽  
William J. Brawn ◽  
Diane E. Spicer ◽  
Rodney C. Franklin ◽  
Robert H. Anderson
Keyword(s):  
Right Ventricle ◽  
Aortic Coarctation ◽  
Full Description ◽  
Ventricular Septal Defects ◽  
Children's Hospital ◽  
Septal Defects ◽  
Children’S Hospital ◽  
The Right ◽  
Phenotypic Specificity ◽  
Combining Information

AbstractBackgroundAlthough holes, or channels, between the ventricles are the commonest congenital cardiac malformations, there is still no consensus as to how they can best be described and categorised. So as to assess whether it is possible to produce a potentially universally acceptable system, we have analysed the hearts categorised as having ventricular septal defects in a large archive held at Birmingham Children’s Hospital.Materials and methodsWe analysed all the hearts categorised as having isolated ventricular septal defects, or those associated with aortic coarctation or interruption in the setting of concordant ventriculo-arterial connections, in the archive of autopsied hearts held at Birmingham Children’s Hospital, United Kingdom.ResultsWe found 147 hearts within the archive fulfilling our criterions for inclusion. All could be classified within one of three groups depending on their borders as seen from the right ventricle. To provide full description, however, it was also necessary to take account of the way the defects opened to the right ventricle, and the presence or absence of alignment between the septal components.ConclusionsBy combining information on the phenotypic specificity defined on the basis of their borders, the direction of opening into the right ventricle, and the presence or absence of septal malalignment, it proved possible to categorise all hearts examined within the archive of Birmingham Children’s Hospital. Our findings have necessitated creation of new numbers within the European Paediatric Cardiac Code.

scholarly journals Biventricular surgical repair of “Swiss Cheese” ventricular septal defects with two-patch and right ventricle apex excluding technique: preliminary experience and clinical results

2021 ◽  
Author(s):  
Qin Wu ◽  
Lei Shi ◽  
Rui Chen ◽  
Quansheng Xing
Keyword(s):  
Right Ventricle ◽  
Right Ventricular ◽  
Surgical Repair ◽  
Major Complication ◽  
Long Term Results ◽  
Swiss Cheese ◽  
Ventricular Septal Defects ◽  
Autologous Pericardium ◽  
Septal Defects ◽  
The Right

Abstract Background “Swiss Cheese” ventricular septal defects (VSDs) is a kind of rare and complex congenital heart defects and the surgical management remains controversial and a challenge. We reviewed our preliminary clinical experience on biventricular surgical repair of “Swiss Cheese” VSDs with two-patch and right ventricle apex excluding technique in 10 cases.Methods From May 2014 to December 2019, a series of 10 patients (M/F=3/7) were admitted in our center. 9 cases underwent one-stage surgical repair with two-patch and right ventricle apex excluding technique and 1 case received two-stage surgical repair with the same technique. Surgical repair was done with cardiopulmonary bypass (CPB) in all cases. 2 fresh autologous pericardium patches were used to close defects of the outflow tract area and the apex trabecular area respectively and as a result, the right ventricular apex was excluded from the right ventricular inflow tract.Results All operations were successful. Median CPB time and aortic clamping time were 96 min and 68 min respectively. Delayed chest closure was performed in 2 cases within 48-72 hours postoperatively. The Median time of mechanical ventilation and ICU stay were 131.3 hours and 8 days respectively. Median length of hospital stay after operation was 11 （9-42）days. There was no mortality and major complication except for 2 cases of ventilator associated pneumonia. There was no death and major complication during a median follow-up time of 3.2 years.. The latest echocardiography results showed the left and right heart function was normal in all the cases.Conclusions Biventricular surgical repair of “Swiss Cheese” VSDs with two-patch of fresh autologous pericardium and right ventricle apex excluding technique in infants is safe and feasible with favorable early and mid-term results. Long term results need to be evaluated with more cases.

scholarly journals Biventricular surgical repair of “Swiss Cheese” ventricular septal defects with two-patch and right ventricle apex excluding technique: preliminary experience and clinical results

2020 ◽  
Author(s):  
Qin Wu ◽  
Lei Shi ◽  
Rui Chen ◽  
Quansheng Xing
Keyword(s):  
Right Ventricle ◽  
Right Ventricular ◽  
Surgical Repair ◽  
Major Complication ◽  
Long Term Results ◽  
Swiss Cheese ◽  
Ventricular Septal Defects ◽  
Autologous Pericardium ◽  
Septal Defects ◽  
The Right

Abstract Background “Swiss Cheese” ventricular septal defects (VSDs) is a kind of rare and complex congenital heart defects and the surgical management remains controversial and a challenge. We reviewed our preliminary clinical experience on biventricular surgical repair of “Swiss Cheese” VSDs with two-patch and right ventricle apex excluding technique in 10 cases. Methods From May 2014 to December 2019, a series of 10 patients (M/F=3/7) were admitted in our center. 9 cases underwent one-stage surgical repair with two-patch and right ventricle apex excluding technique and 1 case received a second-stage surgical repair with the same technique. Surgical repair was done with cardiopulmonary bypass (CPB) in all cases. 2 fresh autologous pericardium patches were used to close defects of the outflow tract area and the apex trabecular area respectively and as a result, the right ventricular apex was excluded from the right ventricular inflow tract. Results All the operations were successful. Median CPB time and aortic clamping time were 96 min and 68 min respectively. Delayed chest closure were done in 2 cases within 48-72 hours postoperatively. The Median time of mechanical ventilation and ICU stay were 131.3 hours and 8 days respectively. Median length of stay after operation was 11 （9-42）days. There was no mortality and major complication except for 2 cases of ventilator associated pneumonia. There was no death and major complication during the median follow-up time of 3.2 years.. The latest echocardiography results showed the left and right heart function was normal in all the cases. Conclusions Biventricular surgical repair of “Swiss Cheese” VSDs with two-patch of fresh autologous pericardium and right ventricle apex excluding technique in infants is safe and feasible with favorable early and mid-term results. Long term results need to be evaluated with more cases.

Assessment of ventricular septal defect with aortic valvar prolapse by means of echocardiography and angiography

1994 ◽  
Vol 4 (1) ◽  
pp. 44-50 ◽  
Author(s):  
Jou-Kou Wang ◽  
Hung-Chi Lue ◽  
Mei-Hwan Wu ◽  
Ming-Lon Young ◽  
Ing-Sh Chiu ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Sinus Of Valsalva ◽  
Ventricular Septal Defects ◽  
Septal Defects ◽  
Mean Size ◽  
The Mean ◽  
The Right

SummaryA total of 80 patients, diagnosed by echocardiography as having ventricular septal defect with aortic valvar prolapse, underwent cardiac catheterization and surgery. Echocardiographic and angiographic results were compared with surgical findings. The ventricular septal defects as observed during surgery were found to be doubly committed and subarterial in 49 (61%), muscular outlet in 10 (13%), and perimembranous in 21(26%). The location had been erroneously categorized by echocardiography and angiography in 12 (15%) and in 15 (19%) patients, respectively. Prolapse of the right coronary leaflet of the aortic valve, as documented by echocardiography, was confirmed by angiography in all but two cases. Prolapse of the noncoronary leaflet was detected by both imaging modalities in three patients. Prolapse of the right coronary and noncoronary leaflets was observed at surgery in 49 and three patients, respectively. The mean size of the ventricular septal defect, when measured by echocardiography, was significantly smaller than that found following surgical measurements (3.3±1.3 vs 8.4±3.8 mm, p<0.001). Our study showed that the ventricular septal defect was erroneously classified in the presence of prolapse of the aortic valve in 15% and 19% of our cases by echocardiography and angiography, respectively. The herniated sinus of Valsalva forming the “roof” of the ventricular septal defect probably redirected the jet across the defect to cause the errors in interpretation. Echocardiography, nevertheless, is as reliable as angiography in our hands in the follow-up of patients with ventricular septal defect opening to the outlet of the right ventricle.

Rupture of a Right Sinus of Valsalva Aneurysm into the Right Ventricle During Vaginal Delivery: A Case Report

2005 ◽  
Vol 22 (10) ◽  
pp. 844-846 ◽  
Author(s):  
Josip Vincelj ◽  
Boris Starčević ◽  
Ivan Sokol ◽  
Željko Sutlić
Keyword(s):  
Case Report ◽  
Right Ventricle ◽  
Vaginal Delivery ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
The Right

scholarly journals Ruptured Aneurysm of Sinus of Valsalva Into the Right Ventricle: The Role of Echocardiography

2017 ◽  
pp. 33-7
Author(s):  
Primawati A ◽  
Krisdinarti L ◽  
Mumpuni H
Keyword(s):  
Right Ventricle ◽  
Aneurysm Rupture ◽  
Clinical Findings ◽  
Sinus Of Valsalva ◽  
Diagnostic Modality ◽  
Sinus Of Valsalva Aneurysm ◽  
Congenital Cardiac Anomalies ◽  
Sternal Border ◽  
The Right ◽  
Sinus Valsalva Aneurysm

1% of the incidence of congenital cardiac anomalies. The most frequent complication is rupture into the right ventricle, causing a shunt from left to right or aortic valve insufficiency with congestive heart failure requiring immediate surgical management. Echocardiography is a diagnostic modality that can be used to help diagnose the presence of sinus Valsalva aneurysm and complications.Clinical case: A 35 years old man with complaints dating dyspnoea on exertion and swelling in both legs. Cardiac auscultation obtained their continuous noisy grade III / VI in the lower left sternal border. Electrocardiography showed sinus tachycardia tachycardia with right axis deviation, right ventricular hypertrophy, and ventricular extrasystoles. Transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) shows an overview of the sinus of Valsalva aneurysm rupture to the right of the right ventricle.Discussion: When on the clinical findings led to the suspicion rupur sinus of Valsalva aneurysm, the evaluation can be performed using TTE, TEE, Magnetic Resonance Imaging (MRI), maupunkateterisasi heart. Gold standard diagnosis of ruptured sinus Valsalva aneurysm is a cardiac catheterization, but with the advancement of a new generation of engines echocardiography, TTE and TEE has played an important role in the diagnostic confirmation of sinus of Valsalva aneurysm rupture.Conclusion: Echocardiography is the diagnostic modality that is quite helpful in making the diagnosis, complications and surgical therapeutic options in cases of ruptured sinus of Valsalva aneurysm.

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