scholarly journals Unanticipated Ruptured Sinus of Valsalva Aneurysm in a Patient with Subpulmonic Ventricular Septum Defect: Suspected by Intraoperative Transthoracic Echo; Confirmed by Intraoperative Transesophageal Echo

2015 ◽  
Vol 3 (1) ◽  
pp. 25-28
Author(s):  
Ravi Raj ◽  
Imran Hussain Bhat
Keyword(s):  
Septal Defect ◽  
Surgical Repair ◽  
Clinical Suspicion ◽  
Ventricular Septum ◽  
Cardiac Anomaly ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
Original Diagnosis ◽  
Ventricular Septum Defect ◽  
Cardiac Lesions

ABSTRACT A sinus of valsalva (SOV) aneurysm is a rare cardiac anomaly that may be congenital or acquired and may be associated with other cardiac lesions. If the aneurysm ruptures, it causes acute symptoms of dyspnea. Echocardiography is a useful diagnostic tool that can guide in proper management of these patients. We present a case of subpulmonic ventricular septal defect (VSD) in which ruptured SOV was detected by intraoperative transthoracic echocardiography and confirmed by transesophageal echocardiography (TEE) which helped in adequate surgical repair and good outcome for the patient. This case report emphasizes the importance of routine transthoracic and TEE in operating room by cardiac anesthesiologist to confirm the original diagnosis and look for new unanticipated findings, especially in a patient with strong clinical suspicion. How to cite this article Bhat IH, Raj R, Puri GD. Unanticipated Ruptured Sinus of Valsalva Aneurysm in a Patient with Subpulmonic Ventricular Septum Defect: Suspected by Intraoperative Transthoracic Echo; Confirmed by Intraoperative Transesophageal Echo. J Perioper Echocardiogr 2015;3(1): 25-28.

scholarly journals The value of three-dimensional echocardiography in the diagnosis and management of ruptured sinus of Valsalva aneurysm: a case report

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Elias Daud ◽  
Tsafrir Or ◽  
Zvi Adler ◽  
Alexander Shturman
Keyword(s):  
Aortic Valve ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Epigastric Pain ◽  
Good Condition ◽  
Three Dimensional ◽  
Transoesophageal Echocardiography ◽  
Cardiac Anomaly ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm

Abstract Background  A sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly. Most SVA’s rupture into right heart chambers and can be classified using the modified Sakakibara classification according to the site of rupture. Transoesophageal echocardiography (TOE) is a useful diagnostic tool and aides in treatment planning in patients with congenital anomalies in emergency situations. Three-dimensional TOE (3D-TOE) provides additional value over standard TOE. Case summary A 38-year-old man with a reported history of ventricular septal defect (VSD) presented to the emergency department complaining of chest pain and epigastric pain lasting several days. Physical examination revealed a continuous heart murmur and signs of acute heart failure. A 3D-TOE revealed an SVA rupture into the right ventricle (Type IIIv) but no evidence of a VSD. Urgent aortic valve replacement with correction of the ruptured SVA was performed. Neither a VSD nor signs of endocarditis were found during surgical exploration. The patient was discharged on post-operative Day 5 in good condition. Discussion A sinus of Valsalva aneurysm is a rare cardiac condition. Ventricular septal defect, bicuspid aortic valve, or aortic valve regurgitation may coexist with SVA. Xin-Jin et al. classified a ruptured SVA into five types according to the site of rupture. Transoesophageal echocardiography is an important tool for diagnosis, anatomical description, and typing of the ruptured SVA. Sinus of Valsalva aneurysm may be misdiagnosed as a VSD, as was the case in our patient, and 3D-TOE can be instrumental for providing both correct diagnosis and critical surgical planning.

scholarly journals Perioperative Transesophageal Echocardiographic Diagnosis of Membranous Interventricular Septal Aneurysm in Two Patients

2016 ◽  
Vol 4 (1) ◽  
pp. 14-16
Author(s):  
Sunder L Negi ◽  
Goverdhan Dutt Puri ◽  
Rana S Singh
Keyword(s):  
Cardiac Surgery ◽  
Septal Defect ◽  
Incidental Finding ◽  
Interventricular Septum ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
Cardiac Lesions ◽  
Cardiac Center

ABSTRACT Aneurysms of interventricular septum are a rare anomaly usually seen as an incidental finding on echocardiography. Rarely, they can cause right ventricular outflow tract obstruction. They can present in patients having other cardiac lesions. Diagnosis of interventricular septal aneurysm is not straightforward. They can be confused with sinus of valsalva aneurysm or ventricular septal defect on transthoracic echocardiography. Transesophageal echocardiography (TEE) provides a better alternative to delineate the interventricular septal aneurysm. We describe the TEE diagnosis of membranous interventricular septal aneurysm in two dissimilar patients who presented for cardiac surgery at our cardiac center. How to cite this article Dutta V, Negi SL, Puri GD, Singh RS. Perioperative Transesophageal Echocardiographic Diagnosis of Membranous Interventricular Septal Aneurysm in Two Patients. J Perioper Echocardiogr 2016;4(1):14-16.

scholarly journals Ruptured Coronary Sinus of Valsalva in the Setting of a Supracristal Ventricular Septal Defect

2020 ◽  
Vol 4 (2) ◽  
pp. 154-157
Author(s):  
Abilio Arrascaeta-Llanes ◽  
Akanksha Kashyap ◽  
Diana Meyler ◽  
Ravi Gupta ◽  
Zubin Tharayil ◽  
...  
Keyword(s):  
Heart Failure ◽  
Emergency Department ◽  
Ventricular Septal Defect ◽  
Coronary Sinus ◽  
Septal Defect ◽  
Surgical Repair ◽  
Signs And Symptoms ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
History Of

A sinus of Valsalva aneurysm (SOVA) is usually a silent entity until one of its complications arises, such as heart failure. SOVA itself is uncommon, but it is more frequently associated with a supracristal ventricular septal defect (SVSD). We present a 67-year-old man with a history of an asymptomatic SVSD who presented to the emergency department with signs and symptoms of heart failure. He was subsequently found to have a ruptured SOVA and underwent urgent surgical repair.

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.

Rare conditions presenting in adulthood

2011 ◽  
Keyword(s):  
Sudden Death ◽  
Clinical Significance ◽  
Surgical Repair ◽  
Sinus Of Valsalva ◽  
Coronary Anomalies ◽  
Sinus Of Valsalva Aneurysm ◽  
Main Indication ◽  
Cardiac Lesions

Coronary anomalies 190Sinus of valsalva aneurysm 192 See Table 15.1.• Rare.• Occur in isolation or with associated congenital cardiac lesions.• Clinical significance depends on potential of the anomaly to cause ischaemia and sudden death.• Ischaemia is main indication for surgical repair and is associated with:...

scholarly journals Surgical Repair of a Giant Sinus of Valsalva Aneurysm with an Anomalous Left Circumflex Artery in a Patient with Bicuspid Aortic Valve

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Kristin Stawiarski ◽  
Asiya Mamhut ◽  
Elenita Kanin ◽  
Stuart Zarich
Keyword(s):  
Aortic Valve ◽  
Ventricular Septal Defect ◽  
Bicuspid Aortic Valve ◽  
Septal Defect ◽  
Surgical Repair ◽  
Sinus Of Valsalva ◽  
Circumflex Artery ◽  
Sinus Of Valsalva Aneurysm ◽  
Left Circumflex Artery ◽  
Defect Repair

Congenital cardiac abnormalities are not always found in isolation. We describe a case of a giant right coronary sinus of Valsalva aneurysm with anomalous left circumflex artery in a 46-year-old male with bicuspid aortic valve and prior ventricular septal defect repair.

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 Unruptured Sinus of Valsalva Aneurysm with Right Ventricular Outflow Tract Obstruction and Supracristal Ventricular Septal Defect: A Rare Case

2015 ◽  
Vol 42 (5) ◽  
pp. 462-464
Author(s):  
Ganiga Srinivasaiah Sridhar ◽  
Muhammad Athar Sadiq ◽  
Wan Azman Wan Ahmad ◽  
Chitra Supuramaniam ◽  
Timothy Watson ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Right Ventricular ◽  
Septal Defect ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Outflow Tract ◽  
Sinus Of Valsalva ◽  
Exertional Dyspnea ◽  
Sinus Of Valsalva Aneurysm ◽  
Ventricular Outflow Tract Obstruction

Unruptured right sinus of Valsalva aneurysm that causes severe obstruction of the right ventricular outflow tract is extremely rare. We describe the case of a 47-year-old woman who presented with exertional dyspnea. Upon investigation, we discovered an unruptured right sinus of Valsalva aneurysm with associated right ventricular outflow tract obstruction and a supracristal ventricular septal defect. To our knowledge, only 2 such cases have previously been reported in the medical literature. Although treatment of unruptured sinus of Valsalva aneurysm remains debatable, surgery should be considered for extremely large aneurysms or for progressive enlargement of the aneurysm on serial evaluation. Surgery was undertaken in our patient because there was clear evidence of right ventricular outflow tract obstruction, right-sided heart dilation, and associated exertional dyspnea.

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