The Pathological Anatomy of Deficiencies between the Aortic Root and the Heart, including Aortic Sinus Aneurysms

Edwards, Jesse E.; Burchell, Howard B.

doi:10.1136/thx.12.2.125

Cited by 339 publications

(136 citation statements)

References 10 publications

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“…Our patient had subarterial VSD and severe AI together with SVAR. The pathology and autopsy findings of those with SVA have previously revealed the discontinuity of the medial layer between the sinus of Valsalva and aortic valve tissue (8) . Later studies lead to a better understanding that because of the close proximity of VSD to the aforementioned region, the weak annulus is displaced towards the right ventricle externally and distally because of the Venturi effect.…”

Section: Discussionmentioning

confidence: 99%

Surgical Repair of a Ruptured Sinus of Valsalva Aneurysm Complicated by Ventricular Septal Defect and Aortic Valve Insufficiency

Özen¹

2017

Kosuyolu Heart Journal

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A 23-year-old male patient was admitted with a 2-week history of congestive heart failure. An echocardiogram revealed an aneurysm originating from the right sinus of Valsalva with a small perforated area on the edge, a ventricular septal defect and severe aortic valve insufficiency. A decision for surgery was made. The right sinus of Valsalva was repaired from the inside. The infundibulotomy was closed using a continuous suturing technique and pericardial patch was used incorporating the ventricular septal defect and the previously repaired right sinus of Valsalva. The aortic valve was replaced with a mechanical prosthesis. Follow-up was unproblematic, and he was discharged on the 12 th postoperative day. Aortic valve insufficiency and a high output shunt cause an increase in the ventricular diameter, impairment of the ejection fraction, congestive heart failure and resultant pulmonary pathology. Ventricular enlargement or impaired ejection fraction does not necessarily deem these patients inoperable.

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Section: Discussionmentioning

confidence: 99%

Surgical Repair of a Ruptured Sinus of Valsalva Aneurysm Complicated by Ventricular Septal Defect and Aortic Valve Insufficiency

Özen¹

2017

Kosuyolu Heart Journal

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“…Most sinus of Valsalva aneurysms occur due to a congenital deficiency of elastic lamellae in the wall of the affected sinus, with separation of the media in the sinus from the media adjacent to the aortic valve annulus [6]. Progressive aneurysmal dilatation occurs due to long standing high pressure and they eventually rupture [7].…”

Section: Discussionmentioning

confidence: 99%

“…Rupture can be precipitated by physical exertion, trauma or can be spontaneous [4]. Aneurysms of the left coronary sinus usually rupture into the left ventricle or left atrium and aneurysms of the right coronary sinus rupture into the right ventricular outflow tract (RVOT), the pulmonary artery or interventricular septum [6,7]. Right atrium is the site of rupture for the aneurysms arising from the non-coronary sinus [9,10].…”

Section: Complicationsmentioning

confidence: 99%

Rupture of Sinus of Valsalva Aneurysm (Type V Sakakibara Type) Treated by the Amplatzer Pda Occluder Device

Yadav¹,

Buxi²,

Jayamma³

et al. 2015

Arc Cas Rep CMed

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Rupture of sinus of valsalva aneurysm is a rare anomaly. It is classified based on the site of rupture. The rarest type is an aneurysm rupturing into the left atrium, left ventricle, or pulmonary artery. The surgery is considered to the treatment of choice in most of the cases where as trans-catheter treatment by the vascular occluder devices is an effective alternative method of treatment. We report the rarest variety of Sakakibara type V aneurysm treated by percutaneous transcatheter Amplatzer PDA occluder device with no post-procedural complication.

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“…It forms due to congenital weakness at the junction of the aortic media and annulus fibrosus [1]. Aneurysms mostly arises from right coronary sinus (RCS) in 70%, non-coronary sinus (NCS) in 29%, and rarely from left coronary sinus in 1% [2].…”

Section: Introductionmentioning

confidence: 99%

Successful transcatheter closure of very large ruptured sinus of Valsalva aneurysm

Sinha¹,

Khanna²,

Mishra³

et al. 2017

Acta Angiologica

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The Pathological Anatomy of Deficiencies between the Aortic Root and the Heart, including Aortic Sinus Aneurysms

Cited by 339 publications

References 10 publications

Surgical Repair of a Ruptured Sinus of Valsalva Aneurysm Complicated by Ventricular Septal Defect and Aortic Valve Insufficiency

Surgical Repair of a Ruptured Sinus of Valsalva Aneurysm Complicated by Ventricular Septal Defect and Aortic Valve Insufficiency

Rupture of Sinus of Valsalva Aneurysm (Type V Sakakibara Type) Treated by the Amplatzer Pda Occluder Device

Successful transcatheter closure of very large ruptured sinus of Valsalva aneurysm

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