title: Ruptured sinus of Valsalva aneurysm in two patients with subarterial ventricular septal defect.
abstract: Rupture of a sinus of Valsalva aneurysm (SVA) is a rare, but life-threatening, event and requires immediate recognition and intervention. We present two previously healthy and physically active patients who were 12 and 33 years of age when rupture of a right coronary SVA into the right ventricle occurred. A subarterial ventricular septal defect (VSD) was detectable in both patients. Cardiac surgery involved VSD closure as well as reconstruction of the aortic valve. Considering complications of subarterial VSD, such as aortic cusp prolapse, aortic insufficiency or SVA, we suggest close follow-up and surgical closure of the VSD in case of any aortic valve deformity.
authors.affiliation: Universitätsklinikum Bonn, Abteilung für Kinderkardiologie, Adenauerallee 119, 53113 Bonn, Germany. Ulrike.Doll@ukb.uni-bonn.de
authors.forename: Ulrike
authors.initials: U
authors.lastname: Doll
authors.forename: U
authors.initials: U
authors.lastname: Herberg
authors.forename: K
authors.initials: K
authors.lastname: Tiemann
authors.forename: J
authors.initials: J
authors.lastname: Schirrmeister
authors.forename: C
authors.initials: C
authors.lastname: Bernhardt
authors.forename: W
authors.initials: W
authors.lastname: Köhler
authors.forename: C
authors.initials: C
authors.lastname: Schmitz
authors.forename: J
authors.initials: J
authors.lastname: Breuer
mesh_terms: D000328:Adult; D001019:Aortic Rupture / Q000453:epidemiology* / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D002648:Child; D015897:Comorbidity; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D012850:Sinus of Valsalva; D014463:Ultrasonography