Asymptomatic ruptured sinus of valsalva aneurysm combined with perimembranous ventricular septal defect, and bicuspid aortic valve in adult patient.
We report the case of an adult patient with the unusual combination of a perimembranous (PM) ventricular septal defect (VSD), asymptomatic ruptured sinus of Valsalva communicating with the right ventricle, and a bicuspid aortic valve. Bulged sinus of Valsalva might conceal the small PM VSD, therefore the patient had no symptom-associated VSD until grown up. However, when aortic valve regurgitation associated with prolapsed right aortic cusp worsened and ruptured sinus of Valsalva was found by echocardiogram, the patient underwent aortic valve replacement with anatomical surgical correction of the aortic sinus and VSD.
Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, University of Keimyung College of Medicine, Daegu, Republic of Korea. henry75@hanmail.net
Seung Hyun
SH
Lee
Jae Bum
JB
Kim
Nam Hee
NH
Park
Hyung Seop
HS
Kim
Dong Yoon
DY
Keum
D000015:Abnormalities, Multiple; D000328:Adult; D001019:Aortic Rupture / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D001021:Aortic Valve / Q000002:abnormalities* / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery; D058070:Asymptomatic Diseases; D000082882:Bicuspid Aortic Valve Disease; D018618:Echocardiography, Doppler, Color; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000601:surgery; D006349:Heart Valve Diseases / Q000175:diagnosis / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome