Ruptured sinus of Valsalva aneurysm in adult age; percutaneous closure with occluder device. Report of three successful cases. Ruptura de aneurisma del seno. Ruptura espontánea de un aneurisma del seno de Valsalva a la aurícula derecha en una paciente con aneurisma del septum interatrial. Pedro López– Velarde. Los aneurismas del seno de Valsalva (ASV) son defectos raros que representan el % de todas las cardiopatías congénitas. Son más.

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The rupture can be in a single site or multiple places. One year ago to his admission he began to have progressive dyspnea and lower limbs edema. Surgical technique and long-term follow-up. CASE 2 Male, anwurisma years old. Also, it is advisable that after the deployment of the device, an aortography and ECG have to be carried out, in order to reveal possible complications.

The present case illustrates the rare coexistence of two congenital malformations, as are sinus of Valsalva aneurysm and aneurysm of the interatrial septum. Clinically, there is a continuous murmur in the left parasternal area and the examination reveals signs of aortic valve insufficiency. Regarding complications, the dek frequent occurrence is rupture.

Aneurisma del seno de Valsalva disecando hacia el septo interventricular en una paciente embarazada

Ann Thorac Surg ; A ten year rev’ew of ruptured sinus of Valsalva: Echocardiogram showed ruptured right VSA of 10 mm diameter towards right ventricle, and aortic valve insufficiency of moderate degree Figure 3. The boy suddenly developed acute prechordal pain, symptoms of low heart output and abeurisma murmur. In the follow-up, the patient is in good clinical conditions. Sakakibara and Konno classification categorizes VSA in four types, the first three involve the right sinus which breaks into the right ventricle, below pulmonary valsala type 1above the supraventricular crest type 2 or below septal leaflet of the tricuspid type 3and type 4 involve non-coronary sinus and it is directed to the right atrium above the tricuspid septal leaflet.


We present three cases of VSA, comprising those of two male patients aged 19 and 25 years old and a third pertaining to a woman aged 32 years oldall of them without cardiovascular risk factors. Ruptured aneurysm of the sinus of Valsalva associated with an atrial valsslva aneurysm. Aneurysm of the sinuses of Valsalva. You can change the settings or obtain more information by clicking here.

Arch Pathol Lab Med ; Atrial d aneurysm is believed to be a aneurjsma of connective tissue, 17 which is manifested along time in adults. J Am Soc Echocardiogr ; It was decided to perform transcatheter closure employing an Amplatzer occluder for interventricular septal defect. Later coils and other devices were used as occluders.

Nakajima, M Imura, T. The patological anatomy of deficiences between the aortic root and the heart, including aortic sinus aneurysms. J Cardiovasc Surg, 35eeno. They are more common in Asia and India, and affect more males than females in a 3: According to the VSA location, clinical outcomes vary.

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We describe 3 cases seen of our department, diagnosed with rupture VSA, who underwent percutaneous closure with occlusion device. X-ray chest film showed grade I cardiomegaly, and pulmonary venocapillary hypertension.

He was referred to our center with diagnosis of aortic valve disease and ventricular septal defect.

VSA can be valsalba to trunco-conal defects like ventricular septal defects, aortic insufficiency, pulmonary stenosis or subaortic stenosis. The etiology of all three cases was congenital.

Aneurysm of sinus of Valsalva with report of dle cases. Ann Thorac Surg, 65pp. The latter is consequence of an incomplete fusion of the distal bulbar septum that separates the pulmonary artery from the aorta and piece together with the fibrous annulus of the aortic valve. It is evident that remain the possibility of a new rupture in the abnormal tissue of the aortic root. Aortic valve replacement was not considered necessary.


Angiotomography confirmed the lesion Figure 4. The place of rupture was shown with color flow imaging, revealing a unidirectional continuous mosaic jet from the aorta to the right heart chamber, Figure 1A, 1B. CASE 3 A 32 years-old woman without cardiovascular risk factors and no previous cardiovascular disease, eeno to have progressive dyspnea, palpitations and lower limbs edema, after chest trauma.

Echocardiography and magnetic resonance imaging of a sinus of Valsalva aneurysm with rupture into the ventricle. Nuclear magnetic resonance imaging is equally useful, 14 but more expensive and less available than echocardiography. Unruptured aneurysm of sinus of Valsalva into the pulmonary artery.

Valsalva sinus aneurysms VSA are rare defects, representing 0. Report of seven cases and review of literature. In general, if they are small do not cause symptoms, but when increased size can block or compress other structures. Without treatment, the natural evolution is a progressive dilatation of the affected tissue, leading in around one third of the patients to the rupture generally into a low pressure right heart chamber.

X-ray chest film showed cardiomegaly and cephalization of blood flow, whereas ECG had signs of left ventricular hypertrophy.

Congenital heart disease, Valsalva sinus aneurysms, Amplatzer occlude, three-dimensional transesophageal echocardiography. Ruptured congenital aneurysms of the sinus of Valsalva: Congenital aneurysm of the sinus of Valsalva.

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