Doppler and two-dimensional echocardiographic features of sinus of Valsalva aneurysm

Chiang, Cheng-Wen; Lin, Fen-Chiung; Fang, Ber-Ren; Kuo, Chi-Tai; Lee, Ying-Shiung; Chen, Chang

doi:10.1016/0002-8703(88)90453-x

Cited by 44 publications

(16 citation statements)

References 16 publications

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“…2). In ruptured aneurysms, color flow imaging with pulsed and continuous-wave Doppler demonstrates a continuous turbulent systolic and diastolic flow into the receiving chamber, most commonly the right ventricle or right atrium[ 66, 67]. Volume overload of the affected chambers will be detected due to increased blood flow associated with significantly sized shunts.…”

Section: Diagnosismentioning

confidence: 99%

Aneurysms of the Sinuses of Valsalva

2006

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Sinus of Valsalva aneurysms are rare cardiac anomalies which may be acquired or congenital, most commonly involving the right or noncoronary sinuses. The congenital aneurysms are more common and often caused by weakness at the junction of the aortic media and the annulus fibrosus. Acquired aneurysms are caused by conditions affecting the aortic wall, such as infections (syphilis, bacterial endocarditis, or tuberculosis), trauma, or connective tissue disorders. Unruptured aneurysms are usually found incidentally during diagnostic studies. More commonly, sinus of Valsalvaaneurysms are diagnosed after clinical sequelae of rupture. Diagnosis of sinus of Valsalva aneurysm is facilitated by echocardiography, contrast aortography, and more recently, magnetic resonance imaging. Repair is generally required for ruptured aneurysms; unruptured aneurysms encroaching on nearby structures, causing myocardial ischemia, or having the potential to rupture warrant repair. A review of the literature is presented focusing on anatomy, clinical presentation of ruptured and unruptured aneurysms, noninvasive diagnostic modalities, and techniques for repair of this anomaly.

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Section: Diagnosismentioning

confidence: 99%

Aneurysms of the Sinuses of Valsalva

2006

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“…In the coronary care unit, commonly available techniques, such as transthoracic or transesophageal echocardiography, may confirm the diagnosis of a ruptured aneurysm of the sinus of Valsalva or suggest another cause for the symptoms [12,13]; however, transthoracic echocardiography may be difficult to perform in obese patients or in those with pulmonary disease or may miss the diagnosis. Furthermore, transesophageal echocardiography is not always tolerated by the patient, as was the case in the present report.…”

Section: Discussionmentioning

confidence: 99%

Rupture of an aneurysm of the coronary sinus of Valsalva: diagnosis by helical CT angiography

et al. 2001

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A 75-year-old man presented with a 5-day history of upper chest discomfort. On auscultation, there was a systolic murmur in the left parasternal area that radiated to the apex. Electrocardiography showed flat T waves in the anterior precordial leads. Chest X ray revealed mediastinal enlargement. Transthoracic echocardiography showed a dilated proximal ascending aorta with moderate aortic regurgitation. A contrast-enhanced helical CT scan, performed to eliminate an aortic dissection, showed a ruptured left coronary sinus of Valsalva aneurysm, confirmed at surgery. This case highlights the fact that helical CT, in patients with suspected aortic dissection, may reveal other pathology that accounts for the clinical presentation.

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“…With recent advances in echocardiography, it has been possible to diagnose ASV without difficulty and with more accuracy; however, a significant number of ASVs cannot be diagnosed by echocardiography. 5 Cardiac catheterization is required to confirm the diagnosis and to precisely evaluate the hemodynamic significance of the lesion, associated cardiac anomalies, and, most importantly, the coronary anatomy. 1 This case was dearly ascertained to be an extracardiac ASV by MRI, but not on the basis of echocardiography, CT, or cardiac catheterization.…”

Section: Discussionmentioning

confidence: 99%

Giant extracardiac unruptured aneurysm of the sinus of Valsalva: a case report

et al. 2000

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Extracardiac unruptured aneurysm of the sinus of Valsalva (ASV) is rare and difficult to diagnose accurately by echocardiography or cardiac catheterization preoperatively. A 63-year-old woman, with dyspnea and palpitations, diagnosed with aortic regurgitation (AR) with congestive heart failure and extracardiac unruptured ASV, was referred to our hospital for surgical repair. The unruptured ASV was well visualized by magnetic resonance imaging (MRI), and diagnosed as an extracardiac type. Surgical repair was performed by aortic valve replacement and aneurysmectomy. It was concluded that early surgical repair of extracardiac ASV should be considered to prevent sudden death, and MRI is an accurate and useful method for preoperative diagnosis.

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Doppler and two-dimensional echocardiographic features of sinus of Valsalva aneurysm

Cited by 44 publications

References 16 publications

Aneurysms of the Sinuses of Valsalva

Aneurysms of the Sinuses of Valsalva

Rupture of an aneurysm of the coronary sinus of Valsalva: diagnosis by helical CT angiography

Giant extracardiac unruptured aneurysm of the sinus of Valsalva: a case report

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