Sinus of Valsalva aneurysm rupture in an infant

2017 ◽  
Vol 28 (2) ◽  
pp. 338-340 ◽  
Author(s):  
David J. Steflik ◽  
Tammy L. Churchill ◽  
Shahryar M. Chowdhury
Keyword(s):  
Surgical Repair ◽  
Aneurysm Rupture ◽  
Right Atrial ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
Patch Closure ◽  
Right Atrial Appendage ◽  
The Right ◽  
Atrial Rupture ◽  
Rupture Site

AbstractWe present the case of a 10-month-old female with a right coronary sinus of Valsalva aneurysm with rupture into the right atrial appendage who presented with a murmur. Surgical repair was performed shortly after diagnosis with pericardial patch closure from within the aorta and closure of the right atrial rupture site. To our knowledge, this is the youngest child with sinus of Valsalva aneurysm with rupture to be identified in the literature.

scholarly journals Ruptured Sinus of Valsalva Aneurysm Associated with Situs Ambiguus, Isolated Levocardia, and Polysplenia

2017 ◽  
Vol 44 (6) ◽  
pp. 416-419
Author(s):  
Safieh Golestaneh ◽  
Mohammad Amin Kashef ◽  
William L. Hiser ◽  
Amir S. Lotfi ◽  
Timothy G. Egan
Keyword(s):  
Heart Failure ◽  
Aneurysm Rupture ◽  
Acute Onset ◽  
Right Atrial ◽  
Sinus Of Valsalva ◽  
Aortic Sinus ◽  
Sinus Of Valsalva Aneurysm ◽  
Situs Ambiguus ◽  
Cardiac Condition ◽  
The Right

Aneurysm of the sinus of Valsalva, a rare cardiac condition, results from dilation of an aortic sinus. Sudden aneurysm rupture can trigger rapidly progressive heart failure. We discuss the case of a 57-year-old woman with situs ambiguus, isolated levocardia, and polysplenia who presented with acute-onset heart failure. Transesophageal echocardiograms revealed an aneurysm of the right coronary sinus of Valsalva that had ruptured into the right atrial cavity. The patient underwent successful surgical repair. To our knowledge, this is the first report of a sinus of Valsalva aneurysm in a patient with this combination of congenital abnormalities. We briefly review the association between congenital heart disease, situs ambiguus, and ciliary dysfunction.

scholarly journals Bacterial Endocarditis Caused by Lactobacillus acidophilus Leading to Rupture of Sinus of Valsalva Aneurysm

2016 ◽  
Vol 43 (2) ◽  
pp. 161-164 ◽  
Author(s):  
Carlos Omar Encarnacion ◽  
Austin Mitchell Loranger ◽  
A.G. Bharatkumar ◽  
G. Hossein Almassi
Keyword(s):  
Gastrointestinal Tract ◽  
Lactobacillus Acidophilus ◽  
Surgical Repair ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Bacterial Endocarditis ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
Aneurysmal Rupture ◽  
The Right

Lactobacillus acidophilus rarely causes bacterial endocarditis, because it usually resides in the mucosa of the vagina, gastrointestinal tract, and oropharynx. Moreover, sinus of Valsalva aneurysms are rare cardiac anomalies, either acquired or congenital. We present the case of a middle-aged man whose bacterial endocarditis, caused by Lactobacillus acidophilus, led to an aneurysmal rupture of the sinus of Valsalva into the right ventricular outflow tract. The patient underwent successful surgical repair, despite numerous complications and sequelae.

Surgical Rescue After Failed Percutaneous Closure of an Aorto-Atrial Tunnel

2019 ◽  
Vol 11 (4) ◽  
pp. NP232-NP234
Author(s):  
Federica Caldaroni ◽  
Mauro Lo Rito ◽  
Antonio Saracino ◽  
Alessandro Varrica ◽  
Luca Giugno ◽  
...  
Keyword(s):  
Heart Failure ◽  
Surgical Intervention ◽  
Right Atrial ◽  
Valve Regurgitation ◽  
Aortic Valve Regurgitation ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
The Right ◽  
Indication For Treatment ◽  
New Onset

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.

scholarly journals Right Ventricular Outflow Tract Obstruction Caused by Isolated Sinus of Valsalva Aneurysm

2016 ◽  
Vol 43 (4) ◽  
pp. 357-359 ◽  
Author(s):  
Walid K. Abu Saleh ◽  
Chun Huie Lin ◽  
Michael J. Reardon ◽  
Basel Ramlawi
Keyword(s):  
Right Ventricular ◽  
Surgical Repair ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Outflow Tract ◽  
Patch Repair ◽  
Rare Occurrence ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
The Right

Isolated sinus of Valsalva aneurysm is a rare occurrence, with an incidence of <1.5% among congenital heart disease repairs in the world. We recount the case of a 64-year-old man who presented with right-sided heart failure symptoms caused by a severely dilated right coronary sinus of Valsalva aneurysm that substantially obstructed the right ventricular outflow tract. Successful surgical repair involved right ventricular outflow tract resection and subcoronary patch repair.

scholarly journals Right Sinus of Valsalva Aneurysm Mimicking Right Coronary Artery Ischemia

Aorta ◽  
2020 ◽  
Vol 08 (05) ◽  
pp. 141-143
Author(s):  
Antonio Bivona ◽  
Vincenzo Caruso ◽  
Samir Shah
Keyword(s):  
Computed Tomography ◽  
Heart Disease ◽  
Back Pain ◽  
Coronary Artery ◽  
Surgical Repair ◽  
Sinus Of Valsalva ◽  
Computed Tomography Scan ◽  
Sinus Of Valsalva Aneurysm ◽  
The Right ◽  
Tomography Scan

AbstractAn aneurysm of a single sinus of Valsalva is rare. It is usually asymptomatic and rarely discovered, unless it compresses the adjacent cardiac structures, or it presents in association with other pathology. We herein describe a case of a male, with known ischemic heart disease, collapsing after sudden back pain. A computed tomography scan demonstrated an aneurysm of the right sinus of Valsalva. The surgical repair aimed to exclude the aneurysm, preserving and reconstructing the aortic root.

scholarly journals A Giant Ruptured Noncoronary Sinus of Valsalva Aneurysm: A Case Report

2021 ◽  
Vol 24 (1) ◽  
pp. E188-E190
Author(s):  
Xueshan Zhao ◽  
Lijie Jiang ◽  
Honghua Yue ◽  
Zhong Wu
Keyword(s):  
Right Atrium ◽  
Rare Case ◽  
Surgical Repair ◽  
Cardiac Computed Tomography ◽  
Coronary Aneurysm ◽  
Transthoracic Echocardiogram ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
Computed Tomography Angiogram ◽  
The Right

The occurrence of a giant ruptured aneurysm originating from the noncoronary sinus of Valsalva in the right atrium is extremely rare. Herein, a case is presented of a giant ruptured noncoronary sinus of Valsalva aneurysm (SVA) that was protruding into the right atrium, which was almost completely occupied by an aneurysm. A 61-year-old female was referred to the hospital for exertional palpitation and dyspnea. While a surgical repair was performed by resection of the aneurysm and a sinus remodeling with a patch of fresh bovine pericardium, a very rare case was observed. It was a giant ruptured noncoronary sinus of aneurysm that completely occupied the right atrium, which was difficult to distinguish from the coronary aneurysm. It is also believed that various imaging examinations, such as cardiac computed tomography angiogram (CCTA) and transthoracic echocardiogram (TTE), were useful for the diagnosis.

scholarly journals Association of ruptured sinus of Valsalva aneurysm and congenital ventricular septal defect: a case series

2021 ◽  
Vol 5 (7) ◽  
Author(s):  
Hatem Hemdan Taha Sarhan ◽  
Abdel Haleem Shawky ◽  
Smitha Anilkumar ◽  
Ahmed Elmaghraby ◽  
Praveen C Sivadasan ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Surgical Repair ◽  
Case Series ◽  
Long Term Results ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
First Case ◽  
The Right

Abstract Background Ruptured sinus of Valsalva aneurysm (RSOVA) is rare, and it is more common in Asians. Typically, the patient presents with acute/subacute shortness of breath (SOB) and chest pain. Echocardiography is the gold standard for diagnosis in most of these cases. Surgery has remained the first line of management. Case summary We present two cases of RSOVA in which the patients presented to the emergency department with SOB. Their preoperative echocardiography results showed RSOVA into the right ventricle. During surgical repair, ventricular septal defect (VSD) was also found. Discussion RSOVA is frequently associated with other congenital anomalies, and most often with VSD. In our cases, we believe that VSDs were missed preoperatively because either the large aneurysmal sacs covered the VSD or there was overlap between the two shunts. Additionally, in the first case, right ventricular pressure was high approaching systemic pressure, which probably reduced the shunt across the VSD. Early intervention is recommended to prevent endocarditis or enlargement of the ruptured aneurysm; long-term results were excellent after surgical repair. Most patients undergo surgery between 20 and 40 years of age, and the reported survival rate is 95% at 20 years. If left untreated, patients typically die of heart failure or endocarditis within 1 year after onset of symptoms.

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