An uncommon cause of acute right ventricular failure and high mixed venous oxygen saturation.
Ruptured sinus of Valsalva aneurysms are rare. We report a case in which the usual clinical manifestations were not present and the patient was initially treated as an acute pulmonary embolus. Despite three negative echocardiograms an intra-cardiac shunt was suspected because of a persistently elevated mixed venous oxygen saturation. Cardiac catheterisation confirmed the diagnosis. Surgical repair was performed and post operative recovery was uneventful.
Peake
S L
SL
Department of Intensive Care, Guy's Hospital, London, UK.
Pavia
J A
JA
Bihari
D J
DJ
Chambers
J B
JB
D001019:Aortic Rupture / Q000097:blood* / Q000150:complications / Q000175:diagnosis; D001784:Blood Gas Analysis; D006328:Cardiac Catheterization; D002303:Cardiac Output, Low / Q000209:etiology*; D003937:Diagnosis, Differential; D015150:Echocardiography, Doppler; D005260:Female; D006439:Hemodynamics; D006801:Humans; D008875:Middle Aged; D010092:Oximetry / Q000592:standards*; D010100:Oxygen / Q000097:blood*; D012850:Sinus of Valsalva
D010100:Oxygen