Three-dimensional echocardiography could distinguish a ventricular septal defect adjacent to asymptomatic ruptured sinus of valsalva aneurysm.
Sinus of Valsalva aneurysm (SVA) arises frequently in the right coronary sinus, and ventricular septal defect (VSD) is a prevalent coexistent cardiac abnormality. A 38-year-old asymptomatic male diagnosed with VSD on cardiac catheterization in his childhood, was referred to our hospital for the change in intensity of his cardiac murmur pointed out by his family physician. A grade V continuous murmur was auscultated with a thrill loudest at the forth left sternal border. Although, transthoracic and transesophageal echocardiography and cardiac catheterization have showed the ruptured right coronary sinus aneurysm, it was difficult to demonstrate coexistence of a doubly committed subarterial VSD. Three-dimensional echocardiography could provide clear images for diagnosis of the VSD closely adjacent to the ruptured SVA. The defect was confirmed at surgery.
Department of Cardiology, Kameda Medical Center, 929 Higashi-cho, Kamogawa, Chiba 296-8602, Japan. masakinobuyuki@hotmail.com
Nobuyuki
N
Masaki
Ryota
R
Iwatsuka
Wataru
W
Nagahori
Masakazu
M
Ohno
Tetsuo
T
Arakawa
Makoto
M
Suzuki
Akihiko
A
Matsumura
Yuji
Y
Hashimoto
D000328:Adult; D001019:Aortic Rupture / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D013504:Cardiovascular Surgical Procedures; D003937:Diagnosis, Differential; D019560:Echocardiography, Three-Dimensional; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D012850:Sinus of Valsalva