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Carrión-Arcela JP, Custodio-Sánchez P, Rodríguez-Urteaga Z, Ríos-Vásquez C. [Rupture of a sinus of valsalva aneurysm into the right atrium in the adult: a case report]. ARCHIVOS PERUANOS DE CARDIOLOGIA Y CIRUGIA CARDIOVASCULAR 2021; 2:63-67. [PMID: 37727261 PMCID: PMC10506542 DOI: 10.47487/apcyccv.v2i1.106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Accepted: 02/18/2021] [Indexed: 09/21/2023]
Abstract
Rupture of a Valsalva aneurysm in the adult is extremely rare and is often complicated by acute heart failure. We present the case of a 39-year-old patient with a non-coronary sinus of Valsalva aneurysm complicated by rupture into the right atrium associated with severe aortic regurgitation and moderate tricuspid regurgitation. The treatment was surgical and was based on the repair with a pericardial patch over the aneurysm, aortic valve replacement, and tricuspid plasty. We emphasize the importance of an early diagnosis and timely surgical treatment due to the high associated mortality.
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Affiliation(s)
- Jean Pierre Carrión-Arcela
- Servicio de Cardiología, Hospital Nacional Almanzor Aguinaga Asenjo. Lambayeque, PerúServicio de CardiologíaHospital Nacional Almanzor Aguinaga AsenjoLambayequePerú
| | - Piero Custodio-Sánchez
- Servicio de Cardiología, Hospital Nacional Almanzor Aguinaga Asenjo. Lambayeque, PerúServicio de CardiologíaHospital Nacional Almanzor Aguinaga AsenjoLambayequePerú
| | - Zoila Rodríguez-Urteaga
- Servicio de Imagen Cardíaca, Instituto Nacional Cardiovascular Carlos Alberto Peschiera Carrillo. Lima, PerúServicio de Imagen CardíacaInstituto Nacional Cardiovascular Carlos Alberto Peschiera CarrilloLimaPerú
| | - Carlomagno Ríos-Vásquez
- Servicio de Cardiología, Hospital Nacional Almanzor Aguinaga Asenjo. Lambayeque, PerúServicio de CardiologíaHospital Nacional Almanzor Aguinaga AsenjoLambayequePerú
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Barroso FVC, Takakura IT, Reis RC, Valente AS, Lima NA, Gomes CRF, Justo Neto Júnior J, Sobrinho CRMR. Ruptured Aneurysm of the Sinus of Valsalva Causing Pulmonary Embolism: A Rare Association. AORTA : OFFICIAL JOURNAL OF THE AORTIC INSTITUTE AT YALE-NEW HAVEN HOSPITAL 2020; 8:107-110. [PMID: 33307591 PMCID: PMC7732558 DOI: 10.1055/s-0040-1722099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Aneurysms of the sinus of Valsalva are rare. Unruptured sinus of Valsalva aneurysm is usually asymptomatic and rarely presents as right ventricular outflow obstruction, myocardial infarction as a result of coronary artery compression, conduction disturbances, or endocarditis. They have only been reported as the presumed source of embolism in six cases. We report a patient with right sinus of Valsalva rupture to the right atrium and embolization of aneurysm contents to the pulmonary vasculature.
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Affiliation(s)
- Francisco V C Barroso
- Department of Cardiology and Cardiovascular Surgery, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil
| | - Isabela T Takakura
- Department of Cardiology and Cardiovascular Surgery, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil.,School of Medicine, University of Fortaleza (UNIFOR), Fortaleza, Ceará, Brazil
| | - Ricardo C Reis
- Department of Pneumology, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil
| | - Acrisio S Valente
- Department of Cardiology and Cardiovascular Surgery, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil
| | - Neiberg A Lima
- Department of Cardiology and Cardiovascular Surgery, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil
| | - Camila R F Gomes
- Department of Cardiology and Cardiovascular Surgery, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil
| | - José Justo Neto Júnior
- Department of Pneumology, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil
| | - Carlos R M Rodrigues Sobrinho
- Department of Cardiology and Cardiovascular Surgery, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil
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Tratamiento quirúrgico de los aneurismas del seno de Valsalva. CIRUGIA CARDIOVASCULAR 2019. [DOI: 10.1016/j.circv.2019.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Marroush TS, Boshara AR, Botros B, Vendittelli P, Ahmed Z, Dawood L, Rosman HS. Rupture of sinus of Valsalva aneurysm: Two case reports and a concise review of the literature. Heart Lung 2018; 47:131-135. [DOI: 10.1016/j.hrtlng.2017.10.005] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2017] [Revised: 10/23/2017] [Accepted: 10/24/2017] [Indexed: 10/18/2022]
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