Rapid hemodynamic deterioration because of acute rupture of an aneurysm of the sinus of Valsalva: the importance of echocardiography in early diagnosis.
We report a patient with an acute rupture of an aneurysm of the right sinus of Valsalva of a bicuspid aortic valve into the right atrium. This congenital disorder is a result of a weak point in the aortic wall resulting from a localized interruption of the media. Because of rapid hemodynamic deterioration, early diagnosis is mandatory and often lifesaving. Echocardiography is the most reliable method to confirm the diagnosis.
Pasteuning
W Hans
WH
Elisabeth Ziekenhuis, Tilburg, The Netherlands.
Roukema
Jan A
JA
van Straten
Albert H M
AH
van der
Miranda A C
MA
Wonnink-de Jonge
Wally F
WF
D000208:Acute Disease; D000328:Adult; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D001019:Aortic Rupture / Q000000981:diagnostic imaging* / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery; D005260:Female; D006350:Heart Valve Prosthesis; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging* / Q000601:surgery; D013997:Time Factors; D014463:Ultrasonography