[Multiplicity of clinical symptoms and manifestations of unruptured aneurysms of the sinus of Valsalva--3 case reports].
Sinus Valsalva aneurysms belong to the less common congenital or acquired structural cardiac anomalies. However, in patients with known cardiac anomalies and uncertain or uncharacteristic cardiac symptoms the existence of a sinus Valsalva aneurysm must be taken into consideration. A sinus Valsalva aneurysm can be clinically silent as in the case of the 56-year-old patient with an accompanying bacterial endocarditis. An increasing aortic regurgitation after dilatation of a coarctation of the aorta can also proceed with an ecstasy of the ascending aorta and an aneurysm of the sinus Valsalva (case 2). Furthermore, a rapid dilatation of a non-ruptured sinus Valsalva aneurysm can cause a severe compression of coronary arteries with subsequent myocardial infarction, as in the 27-year-old patient with congenital aortic stenosis and acute endocarditis in case 3.
Wiemer
J
J
Kardiologie/Nephrologie Klinikum J.W. Goethe-Universität, Frankfurt/Main.
Winkelmann
B R
BR
Beyersdorf
F
F
Sarai
K
K
Reifart
N
N
Hofmann
M
M
Klepzig
H
H
D000328:Adult; D001014:Aortic Aneurysm / Q000151:congenital / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D001017:Aortic Coarctation / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D001027:Aortography; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D005260:Female; D006330:Heart Defects, Congenital / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006350:Heart Valve Prosthesis; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D012086:Reoperation; D012850:Sinus of Valsalva / Q000002:abnormalities / Q000473:pathology / Q000601:surgery
Vielfalt in der klinischen Symptomatik und Manifestation nichtrupturierter Sinus-Valsalvae Aneurysmata--Drei Fallbeispiele.