Echocardiographic diagnosis of congenital sinus of Valsalva aneurysm with dissection of the interventricular septum.
A case is reported in which a congenital aneurysm of the right coronary sinus of Valsalva ruptured and dissected into the interventricular septum. M-mode and cross-sectional echocardiographic examination allowed accurate preoperative assessment of the pathologic anatomy, which was confirmed by angiography, surgery and autopsy. Dissection of the interventricular septum by a congenital sinus of Valsalva aneurysm is a rare lesion, has a poor prognosis, and can be diagnosed noninvasively with echocardiography.
D000293:Adolescent; D001019:Aortic Rupture / Q000150:complications / Q000151:congenital* / Q000601:surgery; D006328:Cardiac Catheterization; D004452:Echocardiography; D006345:Heart Septal Defects, Ventricular / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D009206:Myocardium / Q000473:pathology; D012850:Sinus of Valsalva / Q000473:pathology / Q000503:physiopathology* / Q000601:surgery; D014693:Ventricular Fibrillation / Q000401:mortality