Acute liver failure in ruptured sinus of Valsalva aneurysm

2021 ◽  
pp. e20210012
Author(s):  
Yaqeen Abduallah ◽  
Safaa Azzouz ◽  
Kelita Singh ◽  
Marc Deschenes ◽  
Giada Sebastiani
Keyword(s):  
Liver Failure ◽  
Acute Liver Failure ◽  
Aortic Root ◽  
Hepatic Veins ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
Sinotubular Junction ◽  
Root Area ◽  
Liver Transaminases ◽  
The Right

A sinus of Valsalva aneurysm (SOVA) is a rare cardiac defect in which the aortic root area between the aortic annulus and the sinotubular junction is dilated. We present a case of acute liver failure (ALF) in a 21-year-old man secondary to ruptured SOVA inducing severe ischemic hepatitis. The patient presented clinically with classical ALF. The liver ultrasound reported hepatomegaly with pulsatile portal flow and dilated hepatic veins. A transthoracic echocardiogram revealed focal aneurysmal dilatation of the aortic root with flow across the aneurysm toward the right atrium and elevated right chambers pressures. The surgical repair of the non-coronary SOVA was successful, and post-operatively, liver transaminases improved, and ALF resolved. Given that ruptured SOVA can be surgically repaired, hepatologists should be aware of this diagnosis in a young patient with ALF.

scholarly journals Repair of a Unique Sinus of Valsalva Defect in an Infant

2021 ◽  
Author(s):  
Satoshi Okugi ◽  
Masaaki Koide ◽  
Yoshifumi Kunii ◽  
Minori Tateishi ◽  
Risa Shimbori ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Aortic Root ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Myocardium ◽  
Ventricular Outflow Tract ◽  
Sinus Of Valsalva ◽  
Direct Closure ◽  
Sinus Of Valsalva Aneurysm ◽  
Intracardiac Repair ◽  
The Right

Sinus of Valsalva aneurysm is a rare disease characterized by the partial elevation of the aortic root. Few reports are available on the surgical treatment for infants. We report the repair of an extremely rare case of a sinus of Valsalva defect with a ventricular septal defect and right ventricular outflow tract stenosis in an infant. It was not a sinus of Valsalva aneurysm, but it exhibited abnormal partial bulging of the aortic root and forming an aneurysm-like cavity within the right ventricular myocardium. We performed direct closure of the sinus of Valsalva aneurysm-like cavities and intracardiac repair in two stages. Three years after total repair, the patient remained healthy and asymptomatic.

scholarly journals A Case of Partial Aortic Root Remodeling for the Right Sinus of Valsalva Aneurysm with an Anomalous Origin of the Coronary Artery

2012 ◽  
Vol 41 (2) ◽  
pp. 70-75
Author(s):  
Takayuki Ueno ◽  
Kazuhisa Matsumoto ◽  
Kosuke Mukaihara ◽  
Kenji Toyokawa ◽  
Tomoyuki Matsuba ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Aortic Root ◽  
Anomalous Origin ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
Aortic Root Remodeling ◽  
The Right

Recurrent elevated liver transaminases and acute liver failure in two siblings with novel bi-allelic mutations of NBAS

2017 ◽  
Vol 60 (8) ◽  
pp. 426-432 ◽  
Author(s):  
Frederico S. Regateiro ◽  
Serkan Belkaya ◽  
Nélson Neves ◽  
Sandra Ferreira ◽  
Paula Silvestre ◽  
...  
Keyword(s):  
Liver Failure ◽  
Acute Liver Failure ◽  
Liver Transaminases

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

2009 ◽  
Vol 26 (8) ◽  
pp. 977-979 ◽  
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

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.

scholarly journals Ruptured aneurysm of right sinus of valsalva - a case report

2016 ◽  
Vol 44 (3) ◽  
pp. 175-177
Author(s):  
Md Nazmul Hasan ◽  
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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