A newborn with Aortico-left Ventricular Tunnel mimicking Sinus of Valsalva Aneurysm

Aortico-left ventricular tunnel (ALVT) is a rare congenital cardiac anomaly and constitues of less than 0.1% of all congenital cardiac defects (1). ALVT is described as an abnormal connection between the ascending aorta and the left ventricul which originates commonly above the right sinus of valsalva. Most patients are diagnosed with an ALVT during early infancy (2). Although transthoracic echocardiography (TTE) is more effective in diagnosis of ALVT, misdiagnosis rate was 17.1% (3). Sinus of valsalva aneurysm (SVA) is frequently confused with ALVT (3). We report a term female newborn with SVA in echocardiographic examination but in surgery she was diagnosed with ALVT.

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Anomalous aortic origin of a coronary artery: a universally applicable surgical strategy

Cardiology in the Young ◽

10.1017/s1047951110001083 ◽

2010 ◽

Vol 20 (S3) ◽

pp. 44-49 ◽

Cited By ~ 10

Author(s):

Tom R. Karl ◽

Sylvio C. J. Provenzano ◽

Graham R. Nunn

Keyword(s):

Coronary Artery ◽

Left Pulmonary Artery ◽

Ascending Aorta ◽

Pulmonary Trunk ◽

Cardiac Anomaly ◽

Sinus Of Valsalva ◽

The Right ◽

Arterial Malformation ◽

Anomalous Coronary ◽

Anomalous Coronary Arteries

AbstractThe most commonly reported coronary arterial malformation, in accounts of sudden deaths, is anomalous aortic origin of a coronary artery. Anomalous coronary arteries may arise from the left, right, or non-coronary sinuses of Valsalva. Importantly, although the left coronary artery from the right sinus has the worst prognosis, sudden death has been reported in all variants of origin from the various sinuses of Valsalva. This paper describes a technique that addresses all of the problems relating to anomalous aortic origin of a coronary artery from the wrong sinus of Valsalva. This technique includes the transection of the ascending aorta and pulmonary trunk, coronary arterial enlargement with a pericardial patch, and lateral translocation of the pulmonary trunk to the left pulmonary artery. Anomalous aortic origin of a coronary artery from the wrong sinus of Valsalva is a potentially lethal cardiac anomaly that can be corrected in all cases using this simplified surgical technique that addresses the major anatomic and physiological problems.

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Ruptured Sinus of Valsalva Aneurysm and Coarctation of Aorta in a Woman at Early Postpartum Period

Case Reports in Medicine ◽

10.1155/2014/731596 ◽

2014 ◽

Vol 2014 ◽

pp. 1-3

Author(s):

Erol Sener ◽

Aslihan Kucuker ◽

Huseyin Bayram ◽

Kadir Kurt ◽

Emrah Uguz ◽

...

Keyword(s):

Postpartum Period ◽

Unusual Case ◽

Right Atrial ◽

Coarctation Of Aorta ◽

Sinus Of Valsalva ◽

Cardiac Defects ◽

Sinus Of Valsalva Aneurysm ◽

Congenital Cardiac Defects ◽

Early Postpartum Period ◽

Early Postpartum

Coarctation of aorta and sinus of Valsalva aneurysm are frequently missed congenital cardiac defects that their diagnosis might be delayed. To our knowledge, coincidence of these cardiac defects is unusual and has not been reported in the literature before. Here, we present a patient with coarctation of aorta and ruptured noncoronary sinus of Valsalva aneurysm leading to aorto-right atrial fistula in the early postpartum period and our management of this unusual case.

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Rupture of Aortic Sinus Aneurysm Caused by Trauma

10.21203/rs.3.rs-551097/v1 ◽

2021 ◽

Author(s):

Fenglin Jiang ◽

Ling Xu

Keyword(s):

Aortic Valve ◽

General Population ◽

Heart Surgery ◽

Cardiac Anomaly ◽

Sinus Of Valsalva ◽

Cardiac Defect ◽

Aortic Sinus ◽

Sinus Of Valsalva Aneurysm ◽

Case Presentation ◽

The Right

Abstract Background: Sinus of Valsalva aneurysm is just an uncommon cardiac anomaly, a congenital or acquired cardiac defect that is present in roughly 0.09% of the general population. With an incidence of less than 1% of opening heart surgery cases.Case Presentation: A sinus of Valsalva aneurysm is just an uncommon cardiac anomaly. The aneurysm usually ruptures into the cardiac cavity. The most frequent complication of SVA is rupture into the right atrium or right ventricle. We reviewed 2 cases of rupturing sinus aortic aneurysm.Conclusion: Echocardiography examination needs to monitor the diameter of the aortic sinus, aortic root and aortic valve, especially in the army.

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A Case of Neonatal Heart Failure Caused by Left Ventricular Diverticulum: Successful ECMO Support Application

The Heart Surgery Forum ◽

10.1532/hsf.1530 ◽

2016 ◽

Vol 19 (4) ◽

pp. 189

Author(s):

Ugur Gocen ◽

Atakan Atalay ◽

Orhan Kemal Salih

Keyword(s):

Heart Failure ◽

Left Ventricular ◽

Ecmo Support ◽

Cardiac Anomaly ◽

Low Cardiac Output Syndrome ◽

Ventricular Diverticulum ◽

Endoventricular Circular Patch Plasty ◽

Echocardiographic Examination ◽

Left Ventricular Diverticulum ◽

Patch Plasty

Congenital left ventricular diverticulum is a rare cardiac anomaly. During the newborn period, symptomatic patients are diagnosed with heart failure findings. We present a 23-day-old male newborn with congenital left ventricular diverticulum diagnosed during fetal echocardiographic examination. After the birth, the patient had heart failure symptoms and his echocardiographic examination showed low cardiac ejection fraction. Diverticulum was operated with endoventricular circular patch plasty (DOR) technique, and after, cardiopulmonary bypass venoarterial extracorporeal membrane oxygenation (ECMO) support was performed because of low cardiac output syndrome. On postoperative day 17, he was discharged with no problem.

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Quadricuspid Aortic Valve with Ruptured Sinus of Valsalva Aneurysm to the Right Atrium

Echocardiography ◽

10.1111/j.1540-8175.2009.00930.x ◽

2009 ◽

Vol 26 (8) ◽

pp. 977-979 ◽

Cited By ~ 1

Author(s):

Suneil Kumar Aggarwal ◽

Anand Lingan ◽

Kiran Kumar Reddy ◽

Mallindra Swamy ◽

V. Ramnath Iyer ◽

...

Keyword(s):

Aortic Valve ◽

Right Atrium ◽

Quadricuspid Aortic Valve ◽

Sinus Of Valsalva ◽

Sinus Of Valsalva Aneurysm ◽

The Right

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

Texas Heart Institute Journal ◽

10.14503/thij-15-5121 ◽

2016 ◽

Vol 43 (2) ◽

pp. 161-164 ◽

Cited By ~ 11

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.

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Isolated Cor Triatriatum Sinister: A Case Report

Acta Chirurgica Latviensis ◽

10.2478/chilat-2020-0007 ◽

2020 ◽

Vol 18 (1) ◽

pp. 28-30

Author(s):

Zanda Grīnberga ◽

Pauls Sīlis ◽

Elīna Ligere ◽

Ingūna Lubaua ◽

Inta Bergmane ◽

...

Keyword(s):

Left Atrium ◽

Pulmonary Veins ◽

Surgical Excision ◽

Venous Drainage ◽

Treatment Method ◽

Cor Triatriatum ◽

Cardiac Anomaly ◽

Congenital Cardiac Anomaly ◽

Cor Triatriatum Sinister ◽

The Right

SummaryCor triatriatum sinister is a rare congenital cardiac anomaly that has been identified in 0.1% of children with congenital heart disease. It is defined as a fibromuscular membrane that divides the left atrium into two chambers: a superior (proximal) that in most cases receives drainage from the pulmonary veins and an inferior (distal) chamber that communicates with the mitral valve and the left atrium. Cor triatriatum sinister can be an isolated lesion (approximately 25% of cases), but in many cases it is associated with other congenital cardiovascular anomalies, the most common one being – atrial septal defect(3). Symptoms in patients with cor triatriatum sinister are related to obstruction of pulmonary venous drainage, pressure loading of the right side of the heart and congestive cardiac failure. Depending on the severity of the obstruction and presence of associated cardiac anomalies it can be diagnosed at any age. Diagnosis is usually achieved by echocardiography in early infancy. Elective treatment method is surgical excision of the membrane. Here we present a pediatric patient (4 months old) presenting in cardiogenic shock with a successful correction of isolated cor triatriatum sinister. To confirm diagnosis and success of surgical repair, transthoracic and transesophageal echocardiography were used.

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Ruptured aneurysm of right sinus of valsalva - a case report

Bangladesh Medical Journal ◽

10.3329/bmj.v44i3.27381 ◽

2016 ◽

Vol 44 (3) ◽

pp. 175-177

Author(s):

Md Nazmul Hasan ◽

Md Harisul Hoque ◽

SM Mustafa Zaman ◽

Md Rasul Amin ◽

...

Keyword(s):

Case Report ◽

Cardiac Failure ◽

Annulus Fibrosus ◽

Common Complication ◽

Sinus Of Valsalva ◽

Sinus Of Valsalva Aneurysm ◽

Aortic Media ◽

Surgical Options ◽

Potential Risks ◽

The Right

The sinus of valsalva aneurysm (SVA) is a small dilatation caused by a separation between the aortic media and annulus fibrosus. It may be either acquired or congenital. The right coronary sinus is most frequently affected, with the most common complication being rupture of the sinus. Cardiac failure and sudden auscultation changes suggest the possibility of SVA rupture. Echocardiography is sufficient to diagnose SVA, its complications, repercussions and to determine surgical options. SVA, even if asymptomatic, has potential risks of expansion, rupture, cardiac failure, endocarditis, embolism and sudden death. This justifies surgical correction which has a low mortality rate in both the short and long-term.Bangladesh Med J. 2015 Sep; 44 (3): 175-177

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Sternotomy Sparing Thoratec Heartmate 3 Implantation via Bilateral Minithoracotomy

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1097/imi.0000000000000460 ◽

2018 ◽

Vol 13 (1) ◽

pp. 74-76 ◽

Cited By ~ 4

Author(s):

Julia Riebandt ◽

Dominik Wiedemann ◽

Guenther Laufer ◽

Daniel Zimpfer

Keyword(s):

Left Ventricular ◽

Ascending Aorta ◽

Intercostal Space ◽

Implantation Technique ◽

Thromboembolic Complications ◽

Short Term ◽

Short Term Mortality ◽

Transplant Candidates ◽

The Right ◽

Outflow Graft

A novel sternotomy sparing implantation technique for the Thoratec HeartMate 3 is described. Cannulation of the left ventricular apex is performed via a minithoracotomy in the left fourth or fifth intercostal space. The outflow graft is advanced through the pericardium to a second minithoracotomy in the right second intercostal space and then anastomosed to the ascending aorta. This approach was performed in three patients so far with no need for conversion. We did not observe any perioperative adverse events, such as bleeding or thromboembolic complications, as well as no short-term mortality. This technique is especially appealing in multimorbid and frail patients, future transplant candidates, and patients with impaired right ventricular function.

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