Cardiac tamponade due to a ruptured aneurysm of the sinus of valsalva.
OBJECTIVE
A sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly. Rupture of a SVA often causes hemodynamic instability due to intracardiac shunting or cardiac tamponade, therefore immediate diagnosis and urgent treatment are required.


METHODS
We report an 18-year-old female with cardiac tamponade due to rupture of a localized aneurysm of the right coronary sinus of Valsalva. No other congenital or acquired cardiac anomalies were found. Neurological observation precluded urgent surgery with heparinization and extracorporeal circulation.


RESULTS
Semi-urgently the SVA was successfully resected.


CONCLUSIONS
Semi-urgent surgery for a ruptured aneurysm of the Sinus of Valsalva was successful. In selected cases off pump surgery can be contemplated.
Weijerse
Arjan
A
Department of Cardio-thoracic Surgery, Thoraxcentre, Erasmus Medical Centre, Rotterdam, The Netherlands.
van der Schoot
Marjolijn J T
MJ
Maat
Lex P W M
LP
Bruning
Tobias A
TA
Geleijnse
Marcel L
ML
Bogers
Ad J J C
AJ
D000293:Adolescent; D001014:Aortic Aneurysm / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001019:Aortic Rupture / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D002305:Cardiac Tamponade / Q000209:etiology*; D004452:Echocardiography; D005260:Female; D006801:Humans; D020519:Pericardiocentesis; D012850:Sinus of Valsalva / Q000601:surgery*; D014057:Tomography, X-Ray Computed