2
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Ruptured Sinus of Valsalva Aneurysm: An Unusual Cause of Heart Failure in a Young Woman

      case-report

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Graphical abstract

          Highlights

          • Right heart failure with a continuous loud murmur may be secondary to ruptured SOVA.

          • Multimodality imaging is useful for diagnosis.

          • Prompt surgical correction is associated with favorable outcomes.

          Related collections

          Most cited references16

          • Record: found
          • Abstract: found
          • Article: not found

          Sinus of valsalva aneurysms: review of the literature and an update on management.

          Sinus of Valsalva aneurysm (SOVA), a congenital or acquired cardiac defect that is present in roughly 0.09% of the general population, often presents as an incidental finding during cardiac imaging. Although an echocardiogram is the standard imaging technique for such findings, cardiac computed tomography angiography (CCTA) has been increasingly utilized. If SOVA is diagnosed, CCTA is also a useful test for patients who are at low to intermediate risk for coronary artery disease (CAD) prior to surgical repair. CCTA can accurately rule out CAD, obviating the need for invasive angiography in most cases, which may be more risky in SOVA patients because their coronaries may be more difficult to engage and their aortic root may be more prone to injury. Although surgery has previously been the treatment of choice, transcatheter techniques have added to the spectrum of nonsurgical alternatives for repair. We report here 4 incidental SOVA cases and review the current literature.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Sinus of Valsalva aneurysms--47 years of a single center experience and systematic overview of published reports.

            A retrospective study was undertaken to review demographic data, clinical presentation, outcomes, and long-term results of surgical repair of sinus of Valsalva aneurysms (SVAs). SVAs are a rare anomaly. Surgery is the treatment of choice. A retrospective review of an institutional database identified 86 patients who underwent SVA repair from 1956 to 2003. Follow-up ranged from 3 months to 40 years. The median age was 45 years (range 5 to 80). Approximately 44% of the patients had associated aortic regurgitation. Ruptures occurred in 34% of patients. The predominant fistula was from the right sinus of Valsalva to the right ventricle. Most (65%) were diagnosed by echocardiography, and the remaining (35%) were diagnosed on cardiac catheterization. All subjects underwent SVA repair. Seventy-two patients (84%) underwent other cardiac procedures at the time of aneurysm repair. Six patients (7%) died perioperatively, and the actuarial 10-year survival rate was 63%. In conclusion, echocardiography is the most frequently used diagnostic tool. The most common site of the aneurysm was the right coronary sinus. The concomitant surgical repair of associated ventricular septal defect, atrial septal defect, and the aortic valve is often required. Elective surgical repair can be performed with low risk.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Surgical repair of sinus of Valsalva aneurysm in Asian patients.

              Sinus of Valsalva aneurysm is a rare cardiac anomaly, and the difference between Asian and Western countries in its occurrence is not well established. This study was designed to investigate the difference between Asian and Western patients. Between September 1988 and February 2006, 83 patients with sinus of Valsalva aneurysm underwent surgical repair in our institute. The aneurysms originated from the right and noncoronary sinus in 74 and 9, respectively, and ruptured into the right ventricle in 52 patients, the right atrium in 30, and the left ventricle in 1. Ventricular septal defect (n = 38), aortic regurgitation (n = 21), and bicuspid aortic valve (n = 4) were the common coexisting anomalies. To compare the differences between Asian and Western patients in sinus of Valsalva aneurysm, 1049 cases (654 Asian patients versus 395 Western) were collected from the literature. Sixty-six patients were followed up for 9.6 +/- 3.8 years. The cardiac function of 15 patients with aortic regurgitation was worse than that of those with no aortic regurgitation (p 0.05). Analysis of all collected cases revealed that aneurysm of the sinus of Valsalva in Asian patients compared with Western series is characterized by a higher incidence, more aneurysms originating from the right coronary sinus (85.8% versus 67.9%), more aneurysm rupture into the right ventricle (72.5% versus 60%), a higher incidence of association with ventricular septal defect (52.4% versus 37.5%), and lower incidence of association with bicuspid aortic valve (0.6% versus 7.8%). However, both Asian and Western patient series have similar incidence of combination with aortic regurgitation (33.6% versus 32.7%). Long-term results of ruptured sinus of Valsalva aneurysm are associated with preoperative aortic regurgitation. The difference between Asian and Western patients with ruptured aneurysm of the sinus of Valsalva is significant.
                Bookmark

                Author and article information

                Contributors
                Journal
                CASE (Phila)
                CASE (Phila)
                CASE : Cardiovascular Imaging Case Reports
                Elsevier
                2468-6441
                18 November 2021
                February 2022
                18 November 2021
                : 6
                : 1
                : 27-30
                Affiliations
                [a ]Department of Medicine, New York Presbyterian Hospital, Weill Cornell Medical Center, New York, New York
                [b ]Division of Cardiology, New York Presbyterian Hospital, Weill Cornell Medical Center, New York, New York
                Author notes
                []Correspondence: Ramsey Kalil, MD, Chief Medical Resident, Quality Improvement, New York Presbyterian Hospital, Weill Cornell Medicine, 525 East 68th Street, New York, New York 10065. ramsey.kalil@ 123456gmail.com
                Article
                S2468-6441(21)00133-X
                10.1016/j.case.2021.10.001
                8883140
                58c84e8e-d444-435d-930c-c0e9ec829d6f
                2021 by the American Society of Echocardiography. Published by Elsevier Inc.

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Categories
                Congenital Heart Disease
                Never Too Young or Too Old to be Diagnosed with Congenital Heart Disease

                sinus of valsalva aneurysm,left to right shunt
                sinus of valsalva aneurysm, left to right shunt

                Comments

                Comment on this article