Keywords: Ruptured sinus of valsalva aneurysm, Aortopulmonary tunnel, aortic root abscess.
Sinus of valsalva aneurysm is a rare disease, accounting for less than 1 % of all congenital cardiac diseases.1 It becomes clinically apparent when it ruptures.
Sinus of Valsalva aneurysm (SVA) is rare cardiac anomaly usually congenital while only a minority are acquired.
Contrast cardiac CT scan confirmed the echocardiographic findings of noncoronary sinus of Valsalva aneurysm in close proximity of membranous ventricular septum with normal remaining aortic dimensions and no atherosclerotic changes or dissection flap.
Transcatheter closure of a ruptured sinus of valsalva aneurysm
. Circ J 2006; 70:1043-1047.
Rupture of a noncoronary sinus of Valsalva aneurysm
into the left atrium: A rare cause of acute pulmonary edema.
Transcatheter closure of ruptured sinus of Valsalva aneurysm
into the right ventricle with an Amplatzer Vascular Plug II.
Repair of ruptured sinus of Valsalva aneurysm
: Determinants of long-term survival.
(7.) Rao PS, Bromberg Bl, Jureidini SB, Fiore AC Transcatheter occlusion of ruptured sinus of Valsalva aneurysm
: innovative use of available technology.
A transthoracic echocardiogram was done which showed biatrial dilatation, right ventricular dilatation, slightly decreased left ventricular systolic function, severe aortic regurgitation, a possible bicuspid aortic valve with vegetation, an enlarged aortic root, severe tricuspid regurgitation with moderate to severe pulmonary hypertension, tricuspid valve vegetation, a possible non coronary sinus of Valsalva aneurysm
with perforation to the right atrium and severe coarctation at the aortic isthmus with a maximum peak gradient of 77 mmHg (Figure 1).
Sinus of Valsalva aneurysm
most commonly involves the right coronary cusp, extending toward the right atrium and ventricle.
In the literature, complete heart block has been reported with unruptured sinus of Valsalva aneurysm
; but very few cases of complete heart block with ruptured sinus of Valsalva aneurysm
into IVS has been reported.