Ruptured sinus of Valsalva aneurysm in adult age; percutaneous closure with occluder device. Report of three successful cases. Ruptura de aneurisma del seno. Ruptura espontánea de un aneurisma del seno de Valsalva a la aurícula derecha en una paciente con aneurisma del septum interatrial. Pedro López– Velarde. Los aneurismas del seno de Valsalva (ASV) son defectos raros que representan el % de todas las cardiopatías congénitas. Son más.
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Echocardiographic manifestation of the right sinus of Valsalva aneurysm. Aneurysm of the sinus of Valsalva ASV is a rare cardiac abnormality, occurring in 0.
Surgical repair and long-term results in ruptured sinus of Valsalva aneurysm. The percutaneous technique is more relevant due to is used in the cases of lesions cause by a vwlsalva surgery, due to the increasing risk in re-interventions. The right atrium was open and the aneurysm’s coat was seen, including the basal and medium portion of the interventricular septum.
Acquired aneurysm of aaneurisma of Valsalva can develop as the result of traumatic injury, 2 endocarditis, 3 syphilis, 4 Behcet’s disease 5 or Marfan’s syndrome. An unruptured aneurysm of sinus of Valsalva was diagnosed in childhood.
The aneurysms from the non-coronary sinus are associated to stenosis or tricuspid regurgitation and conduction disorders, while those of the left sinus origin can compress the left coronary artery and calcify.
The diagnosis is confirmed by imaging studies including echocardiography and tomography that in our patients allowed the identification of the affected sinus and the cardiac chamber in which the VSA broke, as well as the measure of the size of the defect, with high correlation with angiographic data.
Atrial septal aneurysm in adult patient.
Br Heart J, 17pp. During the closure, transesophageal echocardiogram is a very useful assisting tool permitting the adequate placing of the closure device.
In fact, connective tissue abnormalities must be suspected when both defects coexist together. J Cardiovasc Surg, 35pp. Ruptured congenital aneurysms of the sinus of Valsalva: In our three patients, some degree of aortic valve insufficiency was documented.
CASE aneuris,a Male, 25 years old. However, it has been found also in patients with normal atrial pressure, 15 suggesting a primary malformation.
Echocardiographic diagnosis was confirmed by cardiac catheterization and angiotomography. J Thorac Cardiovasc Surg, 99pp. The postoperative course was uneventful. X-ray chest film showed grade I cardiomegaly, and pulmonary venocapillary hypertension. Angiotomography confirmed the lesion Figure 4. No hay muchos casos como estos en la literatura.
The present case illustrates the rare coexistence of two congenital malformations, as are sinus of Valsalva aneurysm and aneurysm of the interatrial septum.
Laboratory tests searching for connective tissue disease were negative. Valsalva sinus aneurysms VSA are thin-walled outpouchings due to destruction or weakness of the middle layer of the aorta at the origin of the sigmoid valves, with discontinuity between this layer and the aortic valve fibrous annulus.
Surgical treatment of ruptured aneurysms of the sinus of Valsalva. Infrequently, the rupture causes myocardial ischemia when the left VSA is involved, due to compression of the circumflex artery. The pathology was confirmed by angiotomography.
In the follow-up, all three remain free of heart failure, without signs of significant aortic insufficiency. Eur J Cardiothorac Surg, 10pp.
The electrocardiogram showed left ventricular enlargement Figure sebo. Clinical evolution was satisfactory. Later coils and other devices were used as occluders. The first reports of ASV appeared xneurisma the 19 th century and Lillehei et al. Un hallazgo interesante fue la presencia de un aneurisma del septum interauricular asociado.
J Cardiovasc Surg, 38pp. InSakakibara and Konno, elaborated the classification which is valid still today. Aneurysmal dilatation of the sinus of Valsalva is a rare structural cardiac abnormality in children.
Also, it is advisable that after the deployment of the device, an aortography and ECG have to be carried out, in order to reveal possible complications. Report of seven cases and review of literature. Nakajima, M Imura, T. For now, percutaneous intervention is a feasible and safe intervention for selected cases. The percutaneous transcatheter approach has the advantage that avoids the complications of sternotomy and cardiopulmonary bypass.
Eventhough the first report of a Valsalva aneurysm diagnosed by echocardiography was in12 currently the gold standard for the diagnosis of these lesions continues to be cardiac catheterization with aortography.
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