Unruptured Sinus of Valsalva Aneurysm with Right Ventricular Outflow Tract Obstruction and Ventricular Septal Defect--A Rare Combination.
Sinus of Valsalva aneurysms are rare cardiac anomalies that may be acquired or congenital. We describe the case of a patient who had an unruptured sinus of Valsalva aneurysm causing right ventricular outflow obstruction, with an associated subaortic ventricular septal defect. Sinus of Valsalva aneurysms rarely present until rupture occurs. However, the unruptured aneurysm of the right sinus of Valsalva caused significant right ventricular outflow tract obstruction, resulting in exertional dyspnea. Intraoperative multiplane transesophageal echocardiography and color Doppler helped in precise identification of structural anomalies, shunt location, and definitive surgical repair.
Department of Cardiac Anaesthesia, AIIMS, New Delhi, India.
Sambhunath
S
Das
Department of Cardiac Anaesthesia, AIIMS, New Delhi, India.
Suruchi
S
Ladha
Cardio Thoracic and Vascular Surgery, AIIMS, New Delhi, India.
Balram
B
Airan
D000328:Adult; D017542:Aneurysm, Ruptured; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology*; D003937:Diagnosis, Differential; D004452:Echocardiography / Q000379:methods; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000150:complications* / Q000000981:diagnostic imaging*; D006801:Humans; D035583:Rare Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging*; D014694:Ventricular Outflow Obstruction / Q000000981:diagnostic imaging* / Q000209:etiology*
right ventricular outflow tract obstruction; sinus of Valsalva aneurysms; transesophageal echocardiography; ventricular septal defect