Angiographic features of ruptured sinus of Valsalva aneurysm: New classification

Liu, Suxuan; Xu, Xudong; Chen, Feng; Zhao, Zhenzhen; Zhang, Yigang; Wang, Cheng; Xiang, Jun; Wu, Guangwei; Chen, Xiaoli; Zhao, Xianxian; Qin, Yue

doi:10.1016/j.jjcc.2013.12.004

Cited by 6 publications

(4 citation statements)

References 26 publications

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“…9 Another system of angiographic classification uses the shape of the left-to-right shunt jet in order to facilitate the selection of occluders for percutaneous closure. 10 The four types of shunt jets identified are: type I, window-like; type II, aneurysmal; type III, tubular; and type IV, other rare conditions.10 Our patient is under type III (according to anatomy) & type II ( according to angiography). Echocardiography is the gold standard for the diagnosis of RSOV and the identification of other co-existing congenital anomalies.…”

Section: Discussionmentioning

confidence: 81%

Percutaneous Closure of Acquired Hole- First Case Report from Bangladesh

et al. 2021

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Rupture sinus of Valsalva (RSOV) is an uncommon condition with a wide spectrum of presentation, ranging from an asymptomatic murmur to cardiogenic shock or even sudden cardiac death. Our case presented at 62 yrs with progressive onset of dyspnea, palpitation with deterioration of exercise capacity. Diagnosis of ruptured sinus of Valsalva was made by echocardiography, it was aneurysmal and opened into right ventricular outflow tract. Coronary artery disease was excluded by coronary angiogram. Probable cause of rupture was atherosclerosis.We closed percutaneously with ADO I device. The procedure was completed uneventfully. Patient discharged with duel antiplatelet and is on follow up. Bangladesh Heart Journal 2020; 35(2) : 155-158

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Section: Discussionmentioning

confidence: 81%

Percutaneous Closure of Acquired Hole- First Case Report from Bangladesh

et al. 2021

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“…It is a relatively effective and safe therapy to close the opening of the RSVA without VSD using a transcatheter in a few patients 6. The points and shape of RSVA should be evaluated appropriately before the operation method is chosen 16. The bulging range and the opening of the sinus aneurysm in most patients are large and not suitable for intervention methods.…”

Section: Discussionmentioning

confidence: 99%

Coexisting ventricular septal defect affects the features of ruptured sinus of Valsalva aneurysms

Jin¹,

Han²,

Wang³

et al. 2017

SMJ

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Objectives:To determine the correlation exists between ventricular septal defect (VSD) and ruptured sinus of Valsalva aneurysm (RSVA).Methods:Between September 2003 and April 2014, 80 RSVA patients underwent surgical repair. These patients were retrospectively divided into two groups: the VSD group (38 cases) and the non-VSD group (42 cases).Results:Rupture points of SVA originated more frequently in the right coronary sinus (RCS) of patients in the VSD group than those in the non-VSD group (p=0.002). In the VSD group, more than 92.1% tended to rupture into the right ventricular outflow tract. The rupture points are diverse in the non-VSD group. A significant difference was found in rupture points of RSVA between the two groups (p<0.001). Patients in the VSD group presented with aortic valve disease more often than those in the non-VSD group (p<0.001). A total of 67 patients were repaired with a patch at the opening of RSVA; of those, all patients in VSD group and 29 patients in non-VSD group were repaired with a patch. Nine patients in non-VSD group received transcatheter closure of RSVA.Conclusion:The presence or absence of VSD affects the rupture points of SVA, aortic valve disease involved, and therapeutic schedule. Ruptured sinus of Valsalva aneurysm type should be clinically modified on the basis of presence or absence of VSD.

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“…Except one, none of these classifications addresses the issue of risk stratification for rupture and appropriate timing for surgery. [10][11][12][13][14][15] The latter issue is of particular importance in infants in whom the outcome of aortic valve and aortic root replacement may not be as promis- It is speculated that association of AAA, inheritable connective tissue disorders, small patient size, rapid rate of expansion of the SOVA and/or AAA, and the severity of the aortic valve abnormality affect timing and prognosis of surgery. 16 In conclusion, we reported the first case of congenital SOVA of noncoronary sinus associated with ascending aortic aneurysm in an infant with quadricuspid aortic valve and genetic leukoencephalopathy.…”

Section: Discussionmentioning

confidence: 99%

Congenital unruptured aneurysm of sinus of Valsalva, quadricuspid aortic valve, and ascending aortic aneurysm associated with genetic leukoencephalopathy in an infant: A new syndrome?

Rad

Pouraliakbar

2017

Echocardiography

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We report a 15-month-old female with unruptured noncoronary sinus of Valsalva anreurysm (SOVA) associated with quadricuspid aortic valve, ascending aortic aneurysm (AAA), moderate aortic insufficiency, mild mitral insufficiency, genetic leukoencepaholpathy, developmental delay and mild mixed aminoaciduria. She was referred for evaluation of a cardiac murmur. Initial echocardiographic examination showed the aneurysm as a round cyst in the right atrium which changed in size during systole and diastole. As to the best of our knowledge, this is the first report of association of SOVA, quadricuspid aortic valve, AAA and genetic leukoencephalopathy in an infant. These associations may suggest a new syndrome. We describe the echocardiographic and computed tomographic angiography findings. We also review 641 cases in the literature and the current six classification systems for SOVA.

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Angiographic features of ruptured sinus of Valsalva aneurysm: New classification

Abstract: According to the shape of left to right shunt jet, we propose a new and simple classification for RSVA. It could help toward the better understanding of angiographic morphology of RSVA and facilitate the selection of occluders for percutaneous closure.

Cited by 6 publications

References 26 publications

Percutaneous Closure of Acquired Hole- First Case Report from Bangladesh

Percutaneous Closure of Acquired Hole- First Case Report from Bangladesh

Coexisting ventricular septal defect affects the features of ruptured sinus of Valsalva aneurysms

Congenital unruptured aneurysm of sinus of Valsalva, quadricuspid aortic valve, and ascending aortic aneurysm associated with genetic leukoencephalopathy in an infant: A new syndrome?

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