Congenital aneurysm of the sinus of Valsalva Anatomy and classification

Sakakibara, S; Konno, S

doi:10.1016/0002-8703(62)90287-9

Cited by 233 publications

(83 citation statements)

References 63 publications

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“…Aneurysms of sinus of Valsalva are uncommon and the majority are congenital, but mycotic aneurysms have also been described (Qizilbash, 1974;Sakakibara and Konno, 1962). Although the patient in this report had unequivocal aortic valve endocarditis, a congenital aneurysm cannot be excluded in light of a known heart murmur since childhood (London and London,I96 1 ).…”

Section: Discussionmentioning

confidence: 75%

Fungal endocarditis complicated by mycotic aneurysm of sinus of valsalva, interventricular septal abscess, and infectious pericarditis: Unique m‐mode and two‐dimensional echocardiographic findings

Incarvito

Yang

Papa

et al. 1981

Clinical Cardiology

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Section: Discussionmentioning

confidence: 75%

Fungal endocarditis complicated by mycotic aneurysm of sinus of valsalva, interventricular septal abscess, and infectious pericarditis: Unique m‐mode and two‐dimensional echocardiographic findings

Incarvito

Yang

Papa

et al. 1981

Clinical Cardiology

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“…Especially Jones3) and Mayo group2) beautifully demonstrated the localized lack of continuity between the aortic media and the ring of the aortic valve. Its clinical symptoms were also thoroughly described by Oram et al4) On the other hand, the syndrome of ventricular septal defect with aortic regurgitation was first described by Laubry et al,13) and carefully reviewed by Scott et al9) Clinical differentiation, however, may be occasionally difficult even with angiocardiography.1), 5) As far as the hemodynamic data are concerned, systolic pressure in the pulmonary artery and Qp/Qs are well related with anatomical findings in ruptured aneurysm of the sinus of Valsalva and not in ventricular septal defect with aortic regurgitation as mentioned above. Whereas in the latter, the severity of aortic regurgitation is also well related with that of ventricular septal defect and pulmonary stenosis which is occasionally caused by protruding aortic cusp.…”

Section: Discussionmentioning

confidence: 96%

Ruptured Aneurysm of the Sinus of Valsalva and Ventricular Septal Defect Associated with Aortic Regurgitation

et al. 1971

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SUMMARYHemodynamics, angiocardiography, electrocardiography, and vectorcardiography were analysed in 15 cases of ruptured aneurysm of the sinus of Valsalva and in 20 cases of ventricular septal defect with aortic regurgitation.(1) Systolic pressure in the pulmonary artery and ratio of pulmonary to systemic blood flow (Qp/Qs) is well related with anatomical findings in ruptured aneurysm of the sinus of Valsalva, whereas not in ventricular septal defect with aortic regurgitation.(2) Severity of aortic regurgitation is well related with that of ventricular septal defect and pulmonary stenosis in ventricular septal defect with aortic regurgitation.(3) Rv5+Sv1 is well correlated with Qp/Qs in ruptured aneurysm of the sinus of Valsalva, and with degree of aortic regurgitation in ventricular septal defect with aortic regurgitation.(4) Terminal vector in horizontal plane is located at right posterior quadrant in ruptured aneurysm of the sinus of Valsalva, whereas at left posterior quadrant in ventricular septal defect with aortic regurgitation. Additional Indexing Words: Left ventricular hypertrophyRight ventricular hypertrophy Combined ventricular hypertrophy Pulmonary stenosis Outflow tract obstruction Interventricular shunt ECENTLY many reports1)-7) have been published with regards to ruptured aneurysm of the sinus of Valsalva and ventricular septal defect with aortic regurgitation.8),9) However, both entities were occasionally intermingled at clinical diagnosis or even at intracardiac repair.5), 6) Pathoanatomically speaking, ruptured aneurysm of the sinus of Valsalva, regardless of the presence or absence of ventricular septal defect, is caused by alteration of aortic wall,1)-3) whereas aortic valve is involved in ventricular septal defect with aortic regurgitation.9) As far as the operative technique is concerned, both abnormalities should be corrected with different procedures.

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“…The theory seems to be the same in all aneurysms of the aortic sinus, regardless of which sinus is involved; but the pathophysiologic characteristics of the aneurysm do differ depending on the sinus involved. Most aneurysms of the right or posterior sinus rupture into a cardiac chamber according to the relationship between the aortic cusp and its related intracardiac structure.2 3 However, a small area of the aortic valve occupying the left aortic cusp is exposed to the epicardium, so the aneurysms of the left aortic sinus may protrude to extracardiac area and may rarely reveal the oppressive signs of the left coronary artery.…”

Section: Case Reportmentioning

confidence: 99%

Aneurysm of the left aortic sinus causing acute myocardial infarction.

Hiyamuta¹,

Ohtsuki²,

Shimamatsu³

et al. 1983

Circulation

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SUMMARY A 30-year-old female had an acute myocardial infarction complicated by congestive heart failure. Angiography demonstrated an aneurysm in the area of the left aortic sinus. The aneurysm compressed and displaced the main trunk of the left coronary artery and the proximal portion of the left anterior descending artery. This aneurysm was considered to be the cause of the infarction. Aortic valve replacement and removal of the aneurysm were performed. Postoperative studies revealed good function of the replaced valve, good antegrade filling of the left coronary artery, and improved left ventricular function.AN ANEURYSM of the aortic sinus is uncommon. The most frequent complications of the aneurysm of the aortic sinus are rupture and development of aortocardiac fistula, but until they occur, clinical manifestations are not usually recognized. Single aneurysms originating from the left aortic sinus are rare. An aneurysm of the left aortic sinus is usually combined with aneurysmal dilatation of other sinuses, as in Marfan's syndrome.Recently we treated a patient who had an aneurysm originating from the left aortic sinus. This aneurysm compressed and displaced the adjacent left coronary artery, which produced effort angina and resulted in acute myocardial infarction. Case ReportThe patient was a 30-year-old female who had been in good health until 1 year before this episode, when she first exhibited an abnormal chest x-ray on the routine physical check-up. Four months before, she had a single episode of precordial discomfort when she climbed up the stairs; she was otherwise asymptomatic. On March 23, 1982, after she had run about 100 meters, anterior chest pain, cold sweating, nausea and vomiting afflicted her suddenly. She consulted a local practitioner and her condition was diagnosed as acute myocardial infarction by the serial enzymatic and electrocardiographic changes ( fig. 1) ble, a grade 2/6 mitral regurgitant murmur was noted at the apex, and a blowing aortic regurgitant murmur was noted at the third left sternal border. Bilateral basal crepitant rales were present. Prolonged circulation time suggested the presence of congestive heart failure. Laboratory data revealed no abnormalities. Creactive protein and serologic tests for syphilis were also negative. A chest x-ray showed a localized prominent bulge at the upper portion of the left cardiac border and the pulmonary vascular markings were increased ( fig. 2)

show abstract

Congenital aneurysm of the sinus of Valsalva Anatomy and classification

Cited by 233 publications

References 63 publications

Fungal endocarditis complicated by mycotic aneurysm of sinus of valsalva, interventricular septal abscess, and infectious pericarditis: Unique m‐mode and two‐dimensional echocardiographic findings

Fungal endocarditis complicated by mycotic aneurysm of sinus of valsalva, interventricular septal abscess, and infectious pericarditis: Unique m‐mode and two‐dimensional echocardiographic findings

Ruptured Aneurysm of the Sinus of Valsalva and Ventricular Septal Defect Associated with Aortic Regurgitation

Aneurysm of the left aortic sinus causing acute myocardial infarction.

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