Ruptured aneurysm of the sinus of valsalva into the right atrium without ventricular septal defect: a case report and literature review.
Aneurysm of the sinus of Valsalva (ASV), frequently associated with ventricular septal defect (VSD), is a rare cardiac disease that may be acquired or congenital. Rupture of an ASV, rare in the noncoronary cusp, usually produces serious hemodynamic change and carries poor prognosis if not treated surgically. We present the case of a 55-year-old female who came to us complaining of exertional dyspnea. Transthoracic echocardiography and aortography showed a noncoronary cusp ASV with rupture into the right atrium but without VSD. Because of high left to right shunt flow, she underwent successful surgical intervention with aneurysm repair approached from both the aorta and right atrium with a knitted Dacron patch. This was a rare case of noncoronary cusp involvement in ASV that ruptured into the right atrium without VSD.
Lee
Shuo-Tsan
ST
Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Lin
Tsung-Hsien
TH
Su
Ho-Ming
HM
Chiu
Chaw-Chi
CC
Voon
Wen-Chol
WC
Lai
Wen-Ter
WT
Sheu
Sheng-Hsiung
SH
Lin
Young-Tso
YT
D017542:Aneurysm, Ruptured / Q000175:diagnosis* / Q000601:surgery; D001014:Aortic Aneurysm / Q000175:diagnosis* / Q000601:surgery; D001019:Aortic Rupture / Q000175:diagnosis* / Q000601:surgery; D001027:Aortography; D004452:Echocardiography; D005260:Female; D006325:Heart Atria; D006801:Humans; D008875:Middle Aged; D012850:Sinus of Valsalva