Surgical Treatment of Aneurysms of the Sinus of Valsalva

Tanabe, T.; Yokota, Akira; Sugie, S

doi:10.1016/s0003-4975(10)63253-5

Cited by 30 publications

(8 citation statements)

References 8 publications

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“…It is regarded as a rare condition and its incidence is only 0.09% in a large older autopsy series, but was in 0.14% to 0.23% in a Western surgical series, 8,9 and 0.46% to 3.5% in a surgical series from the Orient 9 . Ruptured ASV occurs rarely in infancy, and in our and other series, the majority of patients have surgery between the ages of 20 and 40 years 5,6 , 9–12 …”

Section: Discussionmentioning

confidence: 44%

Ruptured Congenital Sinus of Valsalva Aneurysms

Lin

Hong

Lee

et al. 2004

Journal of Cardiac Surgery

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Section: Discussionmentioning

confidence: 44%

Ruptured Congenital Sinus of Valsalva Aneurysms

Lin

Hong

Lee

et al. 2004

Journal of Cardiac Surgery

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“…The most common clinical manifestation of SVA is rupture into the right ventricle, although rupture into the intraventricular septum, right atrium, left ventricle, pleural space, pulmonary artery, and pericardium can occur [8,[11][12][13][14][15]25,28]. Rupture is often abrupt and causes chest discomfort.…”

Section: Discussionmentioning

confidence: 99%

“…Survival following rupture depends on prompt surgical repair that may require resection of the aneurysm, composite reconstruction of the aortic root with aortic valve replacement, reimplantation of the coronary arteries, and, in some cases, coronary artery bypass grafting [1,14,15,28,29]. Preoperative medical management consists of measures to relieve cardiac failure and treatment of coexistent arrhythmias and/or endocarditis.…”

Section: Discussionmentioning

confidence: 99%

“…Clinically, SVA is usually manifest following rupture (generally into the right ventricle or right atrium, with occasional reports of rupture into the left ventricle or pulmonary artery) [1,8,[10][11][12][13][14][15]. Other manifestations of SVA include aortic insufficiency, heart block, embolic events, and coronary ischemia [16][17][18][19][20][21][22][23][24][25][26].…”

Section: Introductionmentioning

confidence: 99%

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Myocardial ischemia resulting from spontaneous dissection in a patient with massive bilateral sinus of valsalva aneurysms

Rosenberg

Fedele

Giambartolomei

1999

Cathet. Cardiovasc. Intervent.

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“…1 % o f c a r d i a c malformations, and occurs mainly in eastern men 6,7 . It follows from the weakening of the aortic wall, resulting from interruption of the vascular middle layer.…”

Section: Clinical Aspectsmentioning

confidence: 99%

Caso 5: homem de 40 anos de idade, hipertenso, que apresentou dor abdominal e choque

Pereira¹,

Pintón²,

Benvenuti³

2011

Arq. Bras. Cardiol.

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A 40-year-old man sought medical attention because of intense abdominal pain accompanied by profuse sweating (Nov. 2005).He reported hypertension diagnosed at age of 35 and made use of atenolol 100 mg and aspirin 100 mg on a daily basis.The tests taken at the time of diagnosis of hypertension (Oct. 2000) included echocardiogram revealing ascending aortic diameters of 42 mm; left atrium, 19 mm; right ventricle, 26 mm; left ventricle (diastole/systole), 59/33 mm; left ventricular ejection fraction was 75% and septal and left ventricular posterior wall thickness was 7 mm. We made the following echocardiographic diagnoses: dilated ascending aorta, bicuspid aortic valve without signs of stenosis and mild insufficiency. He had been asymptomatic for 10 months had, when short-duration palpitations appeared. There were no complaints of dyspnea, chest pain or syncope. The patient denied rheumatic history.Physical examination (Jul 12) 2005; first visit to the hospital) revealed heart rate of 80 bpm; blood pressure, 160/80 mm Hg; presence of arterial pulsation in the neck; lung semiology revealed no changes; heart examination revealed stroke in the sixth intercostal space out of the left midclavicular line, extending two fingertips; heart sounds were normal and there was systolic murmur +/ 4+ in the aortic area and diastolic murmur aspiration +/ 4+ at the left sternal border. Abdominal examination was normal and there was lower limb edema; neurological examination revealed left hemiparesis.Chest radiography showed cardiomegaly at the expense of increased left ventricle +++/ 4+Laboratory tests revealed 14.3 g/dL hemoglobin; hematocrit 44%; 7700 leukocytes/mm³; creatinine 0.7 mg/dL; potassium 4.4 mEq/L and sodium 139 mEq/L.One month after that visit, he sought medical attention for palpitations that had begun four days before; atrial fibrillation was detected and warfarin and digoxin were added to the medications used. About four months after the first visit, the patient sought emergency medical attention for severe abdominal pain accompanied by profuse sweating. We carried out clinical and laboratory evaluation and the hypothesis of acute cholecystitis was ruled out.Tomography with contrast (Nov. 18 2005) revealed moderate pleural effusion on the right and discrete on the left; enlarged liver, dilated portal and liver veins. The gallbladder was normal. The kidneys were normal and there were no changes in the aorta.Ultrasound examination of the bladder was normal.A CT scan revealed right parietal cortical and subcortical hypoattenuation zone with effacement of adjacent sulci, compatible with old cerebral infarction. Additionally, there was opacification of the ethmoid sinuses.Laboratory tests (Nov. 18 2005) revealed 13.9 g/dL hemoglobin; hematocrit 43%; leukocytes 23.380/mm³ without left deviation; platelets 135 000/mm³; prothrombin time (INR) 3.96; ratio of partial activated thromboplastin time 1,62; urea 74 mg/dL; creatinine 1.2 mg/dL; sodium 144 mEq/L; potassium 4.5 mEq/L; glucose 26 mg/dL; lactate 52 mg/dL; amylase 33 U...

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Surgical Treatment of Aneurysms of the Sinus of Valsalva

Cited by 30 publications

References 8 publications

Ruptured Congenital Sinus of Valsalva Aneurysms

Ruptured Congenital Sinus of Valsalva Aneurysms

Myocardial ischemia resulting from spontaneous dissection in a patient with massive bilateral sinus of valsalva aneurysms

Caso 5: homem de 40 anos de idade, hipertenso, que apresentou dor abdominal e choque

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