scholarly journals Surgical Repair of a Giant Sinus of Valsalva Aneurysm with an Anomalous Left Circumflex Artery in a Patient with Bicuspid Aortic Valve

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Kristin Stawiarski ◽  
Asiya Mamhut ◽  
Elenita Kanin ◽  
Stuart Zarich
Keyword(s):  
Aortic Valve ◽  
Ventricular Septal Defect ◽  
Bicuspid Aortic Valve ◽  
Septal Defect ◽  
Surgical Repair ◽  
Sinus Of Valsalva ◽  
Circumflex Artery ◽  
Sinus Of Valsalva Aneurysm ◽  
Left Circumflex Artery ◽  
Defect Repair

Congenital cardiac abnormalities are not always found in isolation. We describe a case of a giant right coronary sinus of Valsalva aneurysm with anomalous left circumflex artery in a 46-year-old male with bicuspid aortic valve and prior ventricular septal defect repair.

scholarly journals Ruptured Aneurysm of Sinus of the Valsalva: Case Series

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Afsaneh Sadeghian ◽  
Hakimeh Sadeghian
Keyword(s):  
Aortic Valve ◽  
Ventricular Septal Defect ◽  
Right Ventricle ◽  
Transesophageal Echocardiography ◽  
Aortic Regurgitation ◽  
Bicuspid Aortic Valve ◽  
Transthoracic Echocardiography ◽  
Septal Defect ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm

Introduction: We present three cases of ruptured sinus of Valsalva aneurysm concomitant with a cardiac lesion in 2 cases of ventricular septal defect and 1 case of bicuspid aortic valve with mild aortic insufficiency. Case presentation: In 2/3 cases, the site of ruptured sinus of Valsalva aneurysm originated from right coronary cusps and one from non-coronary cusps. Both ruptured sinus of Valsalva aneurysm from right coronary cusps communicated to right ventricle, and one that originated from non-coronary cusps ruptured to right atrium. All cases were diagnosed by transthoracic echocardiography and confirmed by transesophageal echocardiography. Two underwent the surgery, while one did not want to continue treatment. Conclusion: ruptured sinus of Valsalva aneurysm is a rare cardiac anomaly. In the Eastern countries, the most common associated anomalies with ruptured sinus of Valsalva aneurysm are ventricular septal defect and aortic regurgitation. Ruptured sinus of Valsalva aneurysm mainly originates from right coronary cusps and is ruptured into  right ventricle. Transthoracic echocardiography and transesophageal echocardiography are employed to confirm the diagnosis. In this cohort, the coexistences of ruptured sinus of Valsalva aneurysm with ventricular septal defect and aortic regurgitation (case 1), ventricular septal defect (case 2), aortic regurgitation and  bicuspid aortic valve  (case 3) are observed.

GIANT SINUS OF VALSALVA PSEUDOANEURYSM WITH AN ANOMALOUS LEFT CIRCUMFLEX ARTERY IN A PATIENT WITH BICUSPID AORTIC VALVE

2020 ◽  
Vol 75 (11) ◽  
pp. 2498
Author(s):  
Kristin M. Stawiarski ◽  
Asiya Mahmut ◽  
Boris Sheynburg ◽  
Elenita Kanin ◽  
Michael Dewar ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Sinus Of Valsalva ◽  
Circumflex Artery ◽  
Left Circumflex Artery

scholarly journals The value of three-dimensional echocardiography in the diagnosis and management of ruptured sinus of Valsalva aneurysm: a case report

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Elias Daud ◽  
Tsafrir Or ◽  
Zvi Adler ◽  
Alexander Shturman
Keyword(s):  
Aortic Valve ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Epigastric Pain ◽  
Good Condition ◽  
Three Dimensional ◽  
Transoesophageal Echocardiography ◽  
Cardiac Anomaly ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm

Abstract Background  A sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly. Most SVA’s rupture into right heart chambers and can be classified using the modified Sakakibara classification according to the site of rupture. Transoesophageal echocardiography (TOE) is a useful diagnostic tool and aides in treatment planning in patients with congenital anomalies in emergency situations. Three-dimensional TOE (3D-TOE) provides additional value over standard TOE. Case summary A 38-year-old man with a reported history of ventricular septal defect (VSD) presented to the emergency department complaining of chest pain and epigastric pain lasting several days. Physical examination revealed a continuous heart murmur and signs of acute heart failure. A 3D-TOE revealed an SVA rupture into the right ventricle (Type IIIv) but no evidence of a VSD. Urgent aortic valve replacement with correction of the ruptured SVA was performed. Neither a VSD nor signs of endocarditis were found during surgical exploration. The patient was discharged on post-operative Day 5 in good condition. Discussion A sinus of Valsalva aneurysm is a rare cardiac condition. Ventricular septal defect, bicuspid aortic valve, or aortic valve regurgitation may coexist with SVA. Xin-Jin et al. classified a ruptured SVA into five types according to the site of rupture. Transoesophageal echocardiography is an important tool for diagnosis, anatomical description, and typing of the ruptured SVA. Sinus of Valsalva aneurysm may be misdiagnosed as a VSD, as was the case in our patient, and 3D-TOE can be instrumental for providing both correct diagnosis and critical surgical planning.

scholarly journals Ruptured Coronary Sinus of Valsalva in the Setting of a Supracristal Ventricular Septal Defect

2020 ◽  
Vol 4 (2) ◽  
pp. 154-157
Author(s):  
Abilio Arrascaeta-Llanes ◽  
Akanksha Kashyap ◽  
Diana Meyler ◽  
Ravi Gupta ◽  
Zubin Tharayil ◽  
...  
Keyword(s):  
Heart Failure ◽  
Emergency Department ◽  
Ventricular Septal Defect ◽  
Coronary Sinus ◽  
Septal Defect ◽  
Surgical Repair ◽  
Signs And Symptoms ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
History Of

A sinus of Valsalva aneurysm (SOVA) is usually a silent entity until one of its complications arises, such as heart failure. SOVA itself is uncommon, but it is more frequently associated with a supracristal ventricular septal defect (SVSD). We present a 67-year-old man with a history of an asymptomatic SVSD who presented to the emergency department with signs and symptoms of heart failure. He was subsequently found to have a ruptured SOVA and underwent urgent surgical repair.

scholarly journals Association of ruptured sinus of Valsalva aneurysm and congenital ventricular septal defect: a case series

2021 ◽  
Vol 5 (7) ◽  
Author(s):  
Hatem Hemdan Taha Sarhan ◽  
Abdel Haleem Shawky ◽  
Smitha Anilkumar ◽  
Ahmed Elmaghraby ◽  
Praveen C Sivadasan ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Surgical Repair ◽  
Case Series ◽  
Long Term Results ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
First Case ◽  
The Right

Abstract Background Ruptured sinus of Valsalva aneurysm (RSOVA) is rare, and it is more common in Asians. Typically, the patient presents with acute/subacute shortness of breath (SOB) and chest pain. Echocardiography is the gold standard for diagnosis in most of these cases. Surgery has remained the first line of management. Case summary We present two cases of RSOVA in which the patients presented to the emergency department with SOB. Their preoperative echocardiography results showed RSOVA into the right ventricle. During surgical repair, ventricular septal defect (VSD) was also found. Discussion RSOVA is frequently associated with other congenital anomalies, and most often with VSD. In our cases, we believe that VSDs were missed preoperatively because either the large aneurysmal sacs covered the VSD or there was overlap between the two shunts. Additionally, in the first case, right ventricular pressure was high approaching systemic pressure, which probably reduced the shunt across the VSD. Early intervention is recommended to prevent endocarditis or enlargement of the ruptured aneurysm; long-term results were excellent after surgical repair. Most patients undergo surgery between 20 and 40 years of age, and the reported survival rate is 95% at 20 years. If left untreated, patients typically die of heart failure or endocarditis within 1 year after onset of symptoms.

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