Echocardiographic demonstration of an aneurysm of the right coronary sinus of valsalva with dissection into the interventricular septum.

1984 ◽  
Vol 3 (10) ◽  
pp. 477-479
Author(s):  
G B Liss ◽  
L W Pechacek ◽  
E Garcia ◽  
C M DeCastro
2019 ◽  
Vol 34 (10) ◽  
pp. 1133-1136
Author(s):  
Akihisa Furuta ◽  
Hironobu Morimoto ◽  
Shogo Mukai ◽  
Daisuke Futagami ◽  
Shuhei Okubo

1994 ◽  
Vol 4 (4) ◽  
pp. 347-352 ◽  
Author(s):  
Guo Jia Qiang ◽  
Zhu Xiao Dong ◽  
Xie Gan Xing ◽  
Cao Jian Xiang ◽  
Xiao Ming Di ◽  
...  

SummaryThis study reviews the results of the surgical management of 154 cases of ruptured aneurysm of the sinus of Valsalva. Of the patients0 73% were male, with an average age of 28 years. An associated ventricular septal defect was found in 40% and 23% had aortic valvar regurgitation. The aneurysms originated from the right coronary sinus in 79% and from the non-coronary sinus in the remainders. The aneurysms ruptured into the right ventricle in 73%, into the right atrium in 27% and into the left ventricle in less than 1%. Operative mortality was 4.5%. Long-term follow-up was achieved in 80% of patients, with a mean duration of 5.7 years and a range from two months to 29 years. Preoperative aortic regurgitation and preoperative functional class (NYHA III or IV) were both predictive of a worse long-term outcome. The optimal surgical approach was closure of the distal end of the fistula by direct suture together with reinforcement of the aortic sinus with a Dacron patch.


1989 ◽  
Vol 78 (10) ◽  
pp. 1470-1474
Author(s):  
Jun-ichi HIRAI ◽  
Toshihiko MAEDA ◽  
Takanobu WAKASUGI ◽  
Takashi SAGA ◽  
Yoshihiro AKASHI ◽  
...  

1960 ◽  
Vol 1 (1) ◽  
pp. 106-112 ◽  
Author(s):  
Sadataka TASAKA ◽  
Yawara YOSHITOSHI ◽  
Kiyoshi SEKI ◽  
Keizo KOIDE ◽  
Etsuro OGATA ◽  
...  

2020 ◽  
Vol 47 (2) ◽  
pp. 165-167 ◽  
Author(s):  
Daniel Garcia-Arribas ◽  
Carmen Olmos ◽  
Javier Higueras ◽  
Pedro Marcos-Alberca ◽  
Iñigo de la Pedraja ◽  
...  

Anomalous origin of the left coronary artery from the opposite sinus of Valsalva with an intramural aortic course is a rare congenital anomaly with a poor prognosis. We report the case of a 14-year-old soccer player who briefly lost consciousness while sprinting. He had exertional chest pain, syncope, ischemic changes on his electrocardiogram, and elevated cardiac troponin levels. Computed tomographic angiograms showed an anomalous origin of the left coronary artery from the right sinus of Valsalva and a course through the aortic wall toward the left coronary sinus. A surgically created neo-ostium in the left coronary sinus relieved the patient's ischemia, and he resumed playing soccer after cardiac rehabilitation.


2021 ◽  
Vol 8 ◽  
Author(s):  
Juntao Qiu ◽  
Enzehua Xie ◽  
Yuetang Wang ◽  
Wei Wang ◽  
Cuntao Yu ◽  
...  

Background: This study investigates the optimal management for unruptured sinus of Valsalva aneurysms (USVAs) combined with other cardiovascular lesions.Methods: This retrospective study examined 33 USVA patients who underwent surgical repair from February 1, 2007 to January 31, 2012. We analyzed the surgical procedures and the patients' quality of life after surgery. Additionally, echocardiography follow-up was performed before and after the operation.Results: Most USVAs (87.8%) originated in the right coronary sinus. Aside from one patient who was preoperatively misdiagnosed as having a ruptured sinus of Valsalva aneurysm (SVA). USVAs of the right coronary sinus were addressed by reinforcing this sinus with a Dacron patch through the right ventricle. USVAs were corrected by aortotomy using an autogenous pericardium patch when they originated in the non-coronary or left coronary sinus. Thirty patients (90.9%) were followed up for 22–119 months. No early death, residual fistula or SVA recurrence were found during the follow-up period. They all had a good quality of life and good heart function (New York Heart Association class I–II).Conclusions: Active surgical repair of an USVA can be achieved with satisfactory results in patients combined with other cardiovascular lesions.


1967 ◽  
Vol 4 (3) ◽  
pp. 268-274 ◽  
Author(s):  
J. R. Rooney ◽  
M. E. Prickett ◽  
M. W. Crowe

Eight cases of acquired rupture of the aortic ring in the right coronary sinus with dissection (cardioaortic fistula) into the interventricular septum and into the right ventricle have been described in stallions. It is postulated that the ruptures are due to increased blood pressure during breeding and the direction of a recoiling column of blood against an area of anatomic weakness.


2011 ◽  
Vol 14 (3) ◽  
pp. 210 ◽  
Author(s):  
Dominikus Schullerer ◽  
Maximilian Y. Emmert ◽  
Stephan Jacobs ◽  
Andre R. Plass

An aneurysm of the sinus of Valsalva ruptures in about 35% of all cases and only leads to acute symptoms in 25% of all patients. This paper illustrates a case of a patient who was scheduled for an elective operation due to an aneurysm of the right coronary sinus of Valsalva, which ruptured and led to the necessity of an emergency surgery.


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