Ruptured Congenital Aneurysm of the Right Sinus of Valsalva Into the Right Ventricle: With Special Reference to Pathoanatomic and Hemodynamic Characteristics in Symptomless Cases

Chen, Jin-Cer; Lien, Wan‐Ching; Chang, Fu-Zen; Lee, Ying-Shiung; Hung, Chi‐Ren; Chu, Shu-Shung; Wu, Tongzhi

doi:10.1253/jcj.44.87

Cited by 8 publications

(6 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The clinical presentation of rupture of sinus of aneurysm may vary from mild chest pain to sudden death [6,7]. Chen et al [8] reported that the right sinus of Valsalva aneurysm rupturing into the right ventricular outflow region might be silent or symptomless in many cases. However, all patients with ruptured aneurysm of the sinus of Valsalva should be treated surgically [8].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Multi-slice CT demonstration of sinus of Valsalva rupture

Utsunomiya

Atsuchi

Nishiharu

et al. 2006

Int J Cardiovasc Imaging

View full text Add to dashboard Cite

Aneurysms of the sinus of Valsalva are rare. We report here the case of a 56-year-old man with a ruptured aneurysm of sinus of Valsalva with flow into the right ventricle which was diagnosed non-invasively by 64-row multi-slice computed tomographic (CT) imaging. The right sinus of Valsalva aneurysm rupturing into the right ventricular outflow region might be silent or symptomless in many cases. The patient also had mild symptom. For anatomical demonstration, contrast-enhanced CT was performed. Although the ruptured sinus of Valsalva was initially diagnosed by echocardiography, CT images did give our surgeons a better three-dimensional appreciation when surgical repair was performed. Multi-slice CT imaging should be considered the technique of choice for both diagnosis and follow-up examination of the aneurysm of sinus of Valsalva and its rupture.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Chen et al [8] reported that the right sinus of Valsalva aneurysm rupturing into the right ventricular outflow region might be silent or symptomless in many cases. However, all patients with ruptured aneurysm of the sinus of Valsalva should be treated surgically [8]. Therefore, correct and early diagnosis is important.…”

Section: Discussionmentioning

confidence: 99%

Multi-slice CT demonstration of sinus of Valsalva rupture

Utsunomiya

Atsuchi

Nishiharu

et al. 2006

Int J Cardiovasc Imaging

View full text Add to dashboard Cite

show abstract

“…4,7 Some asymptomatic cases of ruptured aneurysm of the sinus of Valsalva have been reported. 8,9 It is easy to diagnose a ruptured aneurysm because in most cases it causes acute heart failure, but it is difficult to diagnose unruptured aneurysm of the sinus of Valsalva because almost all cases are asymptomatic. The symptoms and signs of aneurysms of the sinus of Valsalva are many, including palpitations, general fatigue, exertional dyspnea, syncope, congestive heart failure, pleural effusion, infectious endocarditis, and conduction disturbance 2,3,6,[10][11][12] The chief findings in the 2 reported cases of unruptured aneurysm were auscultational changes and low-grade fever.…”

Section: Discussionmentioning

confidence: 99%

Unruptured Aneurysm of the Sinus of Valsalva With Behçet's Disease

Kusuyama¹,

Nakamura²,

Yamagishi³

et al. 2002

Circ J

View full text Add to dashboard Cite

“…This disorder seems to be more prevalent in Oriental countries based on the number of large case series from Japan&dquo;' and China. 3,4 Major centers in the United States,s-&dquo; Canada, '2 and France&dquo; have reported series of patients with sinus of Valsalva aneurysm and the surgical approach in ruptured as well as unruptured aneurysms.…”

Section: Introductionmentioning

confidence: 99%

“…Ventricular septal defects are found in 34-67 % of patients. [1][2][3][4]9,10 Bicuspid aortic valve and coarctation of the aorta are also associated anomalies .2 '9 Long-term prognosis of patients who have undergone surgical correction of sinus of Valsalva aneurysm is not well known. Even less understood is the prognosis of the unruptured, isolated aneurysm.…”

Section: Introductionmentioning

confidence: 99%

Aneurysm of the Aortic Sinuses of Valsalva: Hemodynamics and Long-Term Prognosis After Surgery

et al. 1984

View full text Add to dashboard Cite

Seventeen patients with sinus of Valsalva aneurysm are described. All of these patients have had late follow-up to assess prognosis. Twelve patients had congenital aneurysms and five were mycotic. There were 12 males and five females, ranging in age from 20 to 59 years of age (mean of 38 years). Symp toms of congestive heart failure, fatigue, and palpitations were common and were present from three days to seven years before diagnosis (mean of 13.8 months.) All patients had cardiac catheterization including aortography, and 16 had right heart catheterizations. Eleven patients (65%) had aneurysms which ruptured into another cardiac chamber, most frequently the right atrium (six patients). Eleven patients (65%) had aortic insufficiency, and it was moderate to severe in seven. New York Heart Association (NYHA) Functional Class at diag nosis was variable and did not correlate with degree of left-to-right shunt in patients with fistulas to the right heart. Functional Class seemed to correlate with the degree of aortic insufficiency. Fourteen patients required surgery. The surgical procedure usually con sisted of repair of aneurysm and fistula when present, and aortic valve replace ment. There was one death prior to surgery and one operative death (operative mortality of 7%). Ten of the patients (66%) were in NYHA Functional Class I at late follow-up (range 2.5 to 13.1 years, mean 6.5 years). Long-term functional disability occurred more frequently in patients with moderate to severe aortic insufficiency at the time of diagnosis. Patients with aneurysm of the sinus of Valsalva are a heterogenous popula tion. Functional Class at the time of diagnosis as well as long-term prognosis appears to be related to the presence and severity of aortic insufficiency at diagnosis. Catheterization with aortography and right heart catheterization are mandatory for accurate diagnosis. Surgical results are good with low operative mortality and improvement in long-term Functional Class.

show abstract

Ruptured Congenital Aneurysm of the Right Sinus of Valsalva Into the Right Ventricle: With Special Reference to Pathoanatomic and Hemodynamic Characteristics in Symptomless Cases

Cited by 8 publications

References 10 publications

Multi-slice CT demonstration of sinus of Valsalva rupture

Multi-slice CT demonstration of sinus of Valsalva rupture

Unruptured Aneurysm of the Sinus of Valsalva With Behçet's Disease

Aneurysm of the Aortic Sinuses of Valsalva: Hemodynamics and Long-Term Prognosis After Surgery

Contact Info

Product

Resources

About