1210: Ruptured Congenital Sinus of Valsalva Aneurysm Complicated with Congestive Heart Failure in Real-Time Echocardiography

Congenital sinus of Valsalva aneurysm is a rare disorder, mostly involving the right and noncoronary sinuses, in which intracardiac rupture is more likely foreseen into the right chambers. Because of the unfavorable prognosis, which includes heart failure and sudden death, detection itself is an indication for treatment, which may be performed either surgically or percutaneously. We present a case of a four-year-old patient with aorto-right atrial tunnel, in which a transcatheter attempt of closure was performed, complicated by new onset of aortic valve regurgitation, requiring surgical intervention.

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Giant Unruptured Sinus of Valsalva Aneurysm: An Unusual Cause of Right Heart Failure

Journal of Clinical Imaging Science ◽

10.4103/2156-7514.170733 ◽

2015 ◽

Vol 5 ◽

pp. 64 ◽

Cited By ~ 3

Author(s):

Tejeshwar Singh Jugpal ◽

Rashmi Dixit ◽

Samta Lohchab ◽

Anju Garg

Keyword(s):

Heart Failure ◽

Right Ventricular Outflow Tract ◽

Right Heart Failure ◽

Ventricular Outflow Tract ◽

Unruptured Aneurysm ◽

Outflow Tract ◽

Sinus Of Valsalva ◽

Right Heart ◽

Sinus Of Valsalva Aneurysm ◽

The Right

Aneurysm of sinus of Valsalva is a rare cardiac abnormality. Unruptured aneurysm of sinus of Valsalva is usually asymptomatic and often discovered incidentally. However, a large aneurysm can, in rare cases, cause compression of the ventricular outflow tract. We report a case of 17-year-old male with congestive right heart failure with a large, partially thrombosed unruptured aneurysm of the right sinus of Valsalva. The aneurysmal sac was compressing the right ventricular outflow tract causing marked dilatation of the right ventricle and atrium that was confirmed on contrast-enhanced computed tomography imaging. Unruptured sinus of Valsalva aneurysm causing right heart failure in adolescence has been rarely reported in literature.

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Acute Heart Failure due to Noncoronary Sinus of Valsalva Aneurysm with Rupture into the Right Atrium

Japanese Journal of Cardiovascular Surgery ◽

10.4326/jjcvs.44.144 ◽

2015 ◽

Vol 44 (3) ◽

pp. 144-147 ◽

Cited By ~ 1

Author(s):

Takaaki Samura ◽

Yasushi Tsutsumi ◽

Osamu Monta ◽

Satoshi Numata ◽

Sachiko Yamazaki ◽

...

Keyword(s):

Heart Failure ◽

Acute Heart Failure ◽

Right Atrium ◽

Sinus Of Valsalva ◽

Sinus Of Valsalva Aneurysm ◽

The Right

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Surgery for Ruptured Sinus of Valsalva Aneurysm into Right Ventricular Outflow Tract: Role of Intraoperative 2D and Real Time 3D Transesophageal Echocardiography

Echocardiography ◽

10.1111/j.1540-8175.2009.01147.x ◽

2010 ◽

Vol 27 (7) ◽

pp. E65-E69 ◽

Cited By ~ 2

Author(s):

Shrinivas Gadhinglajkar ◽

Rupa Sreedhar

Keyword(s):

Right Ventricular ◽

Transesophageal Echocardiography ◽

Real Time ◽

Right Ventricular Outflow Tract ◽

Ventricular Outflow Tract ◽

Outflow Tract ◽

Sinus Of Valsalva ◽

Sinus Of Valsalva Aneurysm ◽

3D Transesophageal Echocardiography

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Sinus of Valsalva Aneurysm in a Patient With Mosaic Trisomy 13: Case Report and Brief Review of the Literature

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/2150135116682465 ◽

2016 ◽

Vol 11 (4) ◽

pp. NP1-NP6 ◽

Cited By ~ 1

Author(s):

Hani Ghawi ◽

Kevin Engelhardt ◽

Keith Dixon ◽

Poonum Thankaval ◽

Claudio Ramaciotti ◽

...

Keyword(s):

Heart Failure ◽

Congestive Heart Failure ◽

Color Doppler ◽

Physical Exertion ◽

Trisomy 13 ◽

Sinus Of Valsalva ◽

Aortic Sinus ◽

Aneurysmal Dilation ◽

Mosaic Form ◽

The Right

This report describes a unique case involving an obese 16-year-old boy with a mosaic form of trisomy 13 and no previous cardiac history who presented with a new murmur, hypertension, pleural effusions, and congestive heart failure in the context of sore throat and fever. Evaluation revealed a diagnosis of ruptured noncoronary sinus of Valsalva (SOV) aneurysm. The diagnosis and surgical management of a ruptured noncoronary SOV aneurysm in a pediatric patient are briefly outlined. An SOV aneurysm is an anatomic dilation of one of the sinuses of the aortic root. Aneurysmal dilation occurs more commonly in the right aortic sinus (70%-80%), compared to the noncoronary sinus (23%-25%), and more rarely the left coronary sinus (5%). Rupture of these aneurysms has been reported to be both spontaneous and secondary to physical exertion, hypertension, or trauma. Signs of rupture include a continuous murmur, patients may present with chest pain or with symptoms of acute congestive heart failure. Diagnosis, in this case, was made by transthoracic echocardiography with careful interpretation of color Doppler images.

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