title: Severe aortic regurgitation after repair of ruptured sinus of Valsalva aneurysm: the role of transesophageal echocardiography.
abstract: We report a 27-year-old woman who presented with worsening exertional dyspnea and palpitation. Transthoracic echocardiography showed ventricular septal defect, with left-to-right shunting and mild aortic regurgitation detected. Cardiac catheterization was performed that revealed sinus of Valsalva aneurysm with rupture into the right ventricle. Transesophageal echocardiography (TEE) confirmed a rupture of sinus of Valsalva aneurysm and ventricular septal defect. The patient underwent elective surgical repair of the ruptured sinus and intraoperative TEE demonstrated severe aortic regurgitation after repair and mechanical prosthetic valve was implanted. This case illustrates that TEE frequently establishes the diagnosis and provides more information concerning additional cardiac lesions in a patient with ruptured sinus of Valsalva aneurysm. Aortic regurgitation should be evaluated after repair of rupture of sinus of Valsalva by TEE.
authors.affiliation: Department of Cardiology, Erciyes University School of Medicine, Kayseri, Turkey.
authors.forename: Mehmet Gungor
authors.initials: MG
authors.lastname: Kaya
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Ozdogru
authors.forename: Tugrul
authors.initials: T
authors.lastname: Inanc
authors.forename: Ali
authors.initials: A
authors.lastname: Dogan
authors.forename: Hakan
authors.initials: H
authors.lastname: Ceyran
authors.forename: Abdurrahman
authors.initials: A
authors.lastname: Oguzhan
mesh_terms: D000328:Adult; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging* / Q000209:etiology*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D004417:Dyspnea / Q000175:diagnosis / Q000209:etiology; D017548:Echocardiography, Transesophageal / Q000379:methods*; D005260:Female; D006322:Heart Aneurysm / Q000150:complications* / Q000601:surgery*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000009:adverse effects; D012421:Rupture; D012850:Sinus of Valsalva / Q000293:injuries* / Q000601:surgery; D016896:Treatment Outcome