Extracardiac Unruptured Sinus of Valsalva Aneurysm Presenting with Aortic Incompetence

1998 ◽  
Vol 6 (2) ◽  
pp. 138-140
Author(s):  
Berent Discigil ◽  
Mehmet Boga ◽  
Ugur Gürcün ◽  
Cahide Soydas ◽  
Münevver Yüksel

We report a case of extracardiac unruptured aneurysm of the noncoronary sinus of Valsalva presenting with massive aortic regurgitation and high fever. The preoperative evaluation, echocardiographic and cardiac catheterization findings, and surgical management of this rare condition are discussed.

Author(s):  
Xiaokang Luo ◽  
Baotong Li ◽  
Fan Ju ◽  
Chenyu Zhao ◽  
Zhenpeng Yuan ◽  
...  

Open Medicine ◽  
2008 ◽  
Vol 3 (4) ◽  
pp. 510-513
Author(s):  
Abdul Hakeem ◽  
Telal Mudawi ◽  
William Morrison

AbstractThe sinus of Valsalva aneurysm is a relatively rare condition that may be congenital or acquired. We present a case of a young man who was admitted to the emergency department with acute dyspnoea whilst playing football. After investigation, the diagnosis of a ruptured right sinus of Valsalva aneurysm into the right atrium was made. The patient also had a bicuspid aortic valve. Percutaneous approach to close the fistula was unsuccessful and the patient underwent surgical closure of the fistula with replacement of his bicuspid aortic valve.


Perfusion ◽  
2020 ◽  
pp. 026765912096691
Author(s):  
Jean-Luc Duval ◽  
Richard AE Ramsingh ◽  
Natasha C Rahaman ◽  
Risshi D Rampersad ◽  
Gianni D Angelini ◽  
...  

Sinus of Valsalva aneurysm rupture is a rare condition with a great potential for morbidity and mortality if not promptly diagnosed and managed. We present an unusual non-infected sinus of Valsalva aneurysm rupture in a 47-year-old female. This case report, a likely presentation of a late congenital heart defect, highlights the need for a high index of suspicion in a patient with atypical history of congestive cardiac failure.


1997 ◽  
Vol 5 (2) ◽  
pp. 114-117
Author(s):  
Vinayak Nilkanth Bapat ◽  
Rohit Bhojo Shahani ◽  
Anil Gangadhar Tendolkar

A 12-year-old male patient with complete heart block was diagnosed by cardiac catheterization to have an unruptured aneurysm of the sinus of Valsalva eroding into the interventricular septum. Aortic regurgitation was absent and he underwent permanent pacemaker implantation. Three years later, he was readmitted with severe aortic regurgitation and left ventricular failure. The pacemaker was replaced and the patient underwent successful patch closure of the aneurysm and aortic valve replacement. The mode of presentation, noninvasive methods of evaluation, and surgical management of this rare cardiac pathology are discussed.


2015 ◽  
Vol 5 ◽  
pp. 64 ◽  
Author(s):  
Tejeshwar Singh Jugpal ◽  
Rashmi Dixit ◽  
Samta Lohchab ◽  
Anju Garg

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.


1970 ◽  
Vol 4 (1) ◽  
pp. 96-98
Author(s):  
SDM Taimur ◽  
SR Khan ◽  
MR Karim ◽  
MH Rahman

Rupture sinus of Valsalva is a relatively rare condition. We report a rare case of ruptured left sinus of valsalva with aneurysm, presenting with acute left ventricular failure. Transthoracic echocardiography showed an aneurysmal dilatation of the base of interventricular septum and part of the aortic root and a marked turbulent flow from the aortic root to the left ventricle with a continuous systolodiastolic shunting. The patient underwent successful repair of ruptured sinus of valsulva with closure of fistula. During Ventriculotomy the defect was repaired using pledgeted 5/ 0 prolene interrupted sutures and pericardial patch. Key Words: Rupture sinus of valsalva; Aneurysm; Left ventricle DOI: http://dx.doi.org/10.3329/cardio.v4i1.9398 Cardiovasc. J. 2011; 4(1): 96-98


2013 ◽  
Vol 16 (4) ◽  
pp. 219 ◽  
Author(s):  
Zhi-Qiang Li ◽  
Ai-Jun Liu ◽  
Xiao-Feng Li ◽  
Yao-Bin Zhu ◽  
Ying-Long Liu

<p><b>Background:</b> We reviewed the experience of An Zhen and Fu Wai Hospital for congenital sinus of Valsalva aneurysm (SVA) to determine risk factors for aortic valve replacement (AVR) and postoperative progression of aortic regurgitation (AR).</p><p><b>Methods:</b> Over a 7-year period, 255 patients underwent surgical repair of an SVA. Aneurysms originated from the right sinus and the noncoronary sinus in 212 patients (83.1%) and 38 patients (14.9%), respectively, and protruded into the right ventricle and right atrium in 171 patients (67.1%) and 80 patients (31.4%), respectively. AR presented in 142 patients (55.7%), 60 patients underwent AVR, and 13 patients underwent aortic valvuloplasty (3 patients eventually received AVR for valvuloplasty failure).</p><p><b>Results:</b> All patients survived the operation. Late death occurred in 2 patients (0.8%), and 2 patients (0.8%) experienced anticoagulation-related complications. Logistic regression analysis revealed that infective endocarditis, the cardiothoracic ratio, and a nonruptured SVA were risk factors for AVR. Late follow-up of 150 patients by echocardiographic assessment revealed that AR improved in 17 patients and worsened in 20 patients. Cox regression analysis revealed AR at discharge to be an independent risk factor for AR aggravation at late follow-up.</p><p><b>Conclusions:</b> SVA can be repaired with low mortality and excellent long-term results. AR at discharge is an important factor in determining AR aggravation at late follow-up after the operation. We recommend early diagnosis and aggressive treatment for SVA.</p>


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