Ruptured aneurysms of the sinus of Valsalva in Oriental patients

Chu, Shu‐Hsun; Hung, Chi‐Ren; How, Shu-Wen; Chang, Hang; Wang, Shoei‐Shen; Tsai, Chang‐Her; Liau, Chiau-Soung; Tseng, Chuen-Den; Tseng, Yen-Zu; Lee, Yuan‐Teh; Lien, Wen-Pin; Lue, Hung-Chi; Lin, Tsung-Chih

doi:10.1016/s0022-5223(19)37013-8

Cited by 231 publications

(154 citation statements)

References 36 publications

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“…On the other hand, significant pulmonary hypertension and right ventricular enlargement related to ruptured SoVA are not consistent findings in the literature. 12,22,23 When present, right ventricular enlargement most likely represents an acute finding due to excessive diastolic flow from the aorta into the right-sided chambers, and may be associated with echocardiographic markers of right ventricular volume overload, such as a "D" shaped septum in diastole, which was seen in our patient, as well.…”

Section: Typical Presentation Of Supracristal Vsd and Ruptured Sinus supporting

confidence: 53%

“…11 SoVA is present in less than 1% of the Western population; however, its prevalence is reported as up to 3% in Eastern Asian patients. 12 The typical age at presentation is the mid-twenties with a 5:1 Asian predominance. SCVSD appears to be a predisposing factor for SoVA, likely related to limited annular support of the aortic elastica due to failure of the embryologic conal ridges to fuse.…”

Section: Typical Presentation Of Supracristal Vsd and Ruptured Sinus mentioning

confidence: 99%

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Bad Company: Supracristal VSD Presenting with Ruptured Sinus of Valsalva Aneurysm. A Case Presentation with Echocardiographic Depiction and an Analysis of Contemporary Literature

et al. 2014

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Supracristal ventricular septal defect (SCVSD), a defect of the infundibular portion of the interventricular septum just below the right aortic cusp, occurs more frequently in Eastern Asian populations. SCVSD may be complicated by right sinus of Valsalva aneurysm (SoVA). We present the case of a 26-year-old male of Korean descent with a history of a childhood murmur who was referred to our institution for progressive heart failure symptoms. He was diagnosed with SCVSD and ruptured right SoVA based on history, physical exam, and echocardiography including three-dimensional transesophageal echocardiography with reconstructed surgical views. The patient underwent SCVSD closure, SoVA excision, and valve-sparing aortic root replacement. We reviewed the echocardiography literature regarding SCVSD and SoVA, and analyzed contemporary literature of SoVA and its relationship with SCVSD. We conclude that a higher prevalence of ruptured SoVA in Eastern Asians is likely related to a higher prevalence of underlying SCVSD in this population.

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Section: Typical Presentation Of Supracristal Vsd and Ruptured Sinus supporting

confidence: 53%

Section: Typical Presentation Of Supracristal Vsd and Ruptured Sinus mentioning

confidence: 99%

Bad Company: Supracristal VSD Presenting with Ruptured Sinus of Valsalva Aneurysm. A Case Presentation with Echocardiographic Depiction and an Analysis of Contemporary Literature

et al. 2014

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“…The male to female ratio is approximately 2:1. [1][2][3] Because of recent advances in diagnostic techniques, especially in echocardiography, the number of patients presenting for surgical treatment has been increasing. This report summarises our experience with SVAF.…”

mentioning

confidence: 99%

Treatment and outcome of sinus of valsalva aneurysm

Shi

Wang

et al. 2002

Heart, Lung and Circulation

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“…3 SVA's associated other cardiac pathologies such as ventricular septal defect, and rarely atrial septal defect or aneurism. [1][2][3][4][5][6] Transthoracic and/or transoesophageal echocardiography sufficient diagnostic tools just about most of cases. There is reported case of rupture into interventricular septum diagnosed by echocardiography, but it was failed to demonstrate that in our case.…”

Section: Discussionmentioning

confidence: 99%

“…6 Direct closure or patch closure were reported as effective surgical techniques. [1][2][3][4]9,10 But root replacement may be considered first line technique when surgical experience limited.…”

Section: Discussionmentioning

confidence: 99%

Dynamic Circle Image in Left Ventricle Outflow Tract

Karapınar¹,

Kaya

Aung

et al. 2011

Echocardiography

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A 46-year-old man presented with a complaint of effort dyspnea. On transthoracic echocardiography a circle appeared in LVOT. It was seen freely floating, disappearing in every systole and appearing again in diastole. Turbulence was seen inside the circle with color Doppler. Transesophageal echocardiography showed aortic cusps and their coaptation to be normal. Aortic root diameters were normal at the annulus, sinus of Valsalva, and sinotubular junction. There were no signs of dissection, infective endocarditis or abscess. But as the probe was advanced, left sinus of Valsalva was found to be prolapsed, and ruptured into LVOT.

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Ruptured aneurysms of the sinus of Valsalva in Oriental patients

Cited by 231 publications

References 36 publications

Bad Company: Supracristal VSD Presenting with Ruptured Sinus of Valsalva Aneurysm. A Case Presentation with Echocardiographic Depiction and an Analysis of Contemporary Literature

Bad Company: Supracristal VSD Presenting with Ruptured Sinus of Valsalva Aneurysm. A Case Presentation with Echocardiographic Depiction and an Analysis of Contemporary Literature

Treatment and outcome of sinus of valsalva aneurysm

Dynamic Circle Image in Left Ventricle Outflow Tract

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