A Short Case Report on Ruptured Sinus of Valsalva Aneurysm

Matta, Abhishek; Nagabandi, Arun; Bande, Dinesh

doi:10.7759/cureus.10263

Cited by 3 publications

(6 citation statements)

References 10 publications

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“…A total of 48 papers were identified, of which 28 records not related to the theme were excluded. A total of 20 full-text papers representing 23 patients, children and adults included, were included in this review [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23].…”

Section: Resultsmentioning

confidence: 99%

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Sinus of Valsalva aneurysm in Africa: a literature review

Morais

Ferreira

2022

CDS

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Sinus of Valsalva aneurysm (SOVA) is a rare congenital anomaly. The incidence of SOVA is five times higher among Asians than among Western populations. Currently, there is a lack of information on the clinical presentations of this entity in Africans. This study aims to perform a comprehensive review of papers concerning SOVA in the African population. In this study, papers published from 1962 to April 2021 were collected by entering the keywords, “SOVA” and “The name of each African country”, in the PubMed database, and a manual search was performed using citations from primary papers to retrieve any other reports not included in PubMed. As shown, 23 patients with SOVA were included in this review. There were 14 males (60.8%) and 9 females (39.1%), and their average age was 28.7 ± 13.9 years old. Their most frequent clinical presentation was dyspnea followed by palpitations. SOVA arose from the right sinus of Valsalva in 65.2% of cases, the dissection into interventricular septum (IVS) was the most frequent complication, accounting for 52.2% of cases, and the main cardiac anomalies associated with SOVA were other congenital cardiac aneurysms. In conclusion, in Africans, SOVA arises more often from the right sinus of Valsalva, the main complication of SOVA is their dissection into IVS, and the main cardiac anomalies associated with SOVA in the African population are other congenital cardiac aneurysms. These differences are important in the surgical planning of African patients.

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Section: Resultsmentioning

confidence: 99%

“…A case series with 4 patients and 19 clinical cases of SOVA were identified from reports published between 1962 and 2021 [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23]. Overall, 23 patients with SOVA were identified, and there were 14 males (60.8%) and 9 females (39.1%) (male/female ratio: 1.6/1).…”

Section: Resultsmentioning

confidence: 99%

Sinus of Valsalva aneurysm in Africa: a literature review

Morais

Ferreira

2022

CDS

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“…Ruptured SOVA with fistula tract formation is a complication that can lead to progressive cardiac failure [6] [7]. Rupture of the right and noncoronary sinuses results in communication between the aorta and either the right atrium or the right ventricular outflow tract, which can lead to right ventricular overload and right-sided heart failure [6].…”

Section: Discussionmentioning

confidence: 99%

Unusual Presentation of Heart Failure Secondary to Ruptured Aneurysmal Sinus of Valsalva: A Case Report

Zahari,

Hassan

2024

WJCS

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Sinus of Valsalva Aneurysm (SOVA) arises from an abnormal dilation of the aortic root, leading to enlargement between the aortic annulus and the sinotubular junction. Although often presenting without symptoms, these aneurysms bear the potential for life-threatening complications, primarily from the looming risk of rupture. We present the case of a 42-year-old Malay gentleman with a history of bilateral pedal edema and dyspnea on exertion who was diagnosed with a ruptured sinus of Valsalva aneurysm. The patient underwent successful surgical repair of the aneurysm, leading to symptomatic improvement and favorable outcomes. This case highlights the importance of early diagnosis and prompt surgical intervention in managing this uncommon condition.

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“…3 If rupture occurs, a shunt more commonly develops into the right ventricle or right atrium. 7 Cases of RVOT obstruction, coronary artery compression with infarction, conduction disturbances, endocarditis and thrombus within the aneurysmal cavity also have been reported. 5 Congenital SVAs classically rupture between 20 to 40 years of age.…”

Section: Discussionmentioning

confidence: 99%

“…4 The median survival of untreated ruptured SVA is 3-4 years. 7 The operation mortality rate is 1.9% to 3.6% with 90% survival at 15 years. 6 The choice of percutaneous vs surgical intervention depends on patients age, comorbidities, hemodynamic status at presentation, coexisting congenital heart defects, size of ruptured SVA and location, decision best made by multidisciplinary team.…”

Section: Transthoracicmentioning

confidence: 99%