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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Echocardiogram showed ruptured right VSA of 10 mm diameter towards right ventricle, and aortic valve insufficiency of moderate degree Figure 3. J Cardiovasc Surg, 35pp. J Thorac Cardiovasc Surg ; Aenurisma of three successful cases. The electrocardiogram showed left ventricular enlargement Figure 2.

Aneurysms are generally silent for prolonged periods of time. Spontaneous rupture of an aneurysm of the sinus of Valsalva into the right atrium, associated with an atrial septal aneurysm. A ten year rev’ew of ruptured sinus of Valsalva: Surgical closure of the communication was performed under extracorporeal circulation.

In our three patients, some degree of aortic valve insufficiency was documented. Traumatic sinus of Valealva fistula and aortic valve rupture. All patients clinically manifested heart failure and continuous murmur. InOram described the first clinical description. A Report of 9 Cases. The pathology was confirmed by angiotomography.

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. Eur J Cardiothorac Surg, 6pp. They are more common in Asia and India, and affect more males than females in a 3: To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.


Arch Mal Coeur, 79pp.

Aneurysmal dilatation of the sinus of Valsalva is a rare structural cardiac abnormality in children. There are not many cases like these reported in literature. More uncommon are the ruptures in the left sinus, which acquires a round shape eeno exhibits early calcification. Aneurysm of the atrial septum as diagnosed by echocardiography: X-ray chest film showed mild cardiomegaly Figure 1 and normal electrocardiogram.

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Percutaneous approach was also decided, and the procedure was done successfully. Sometimes patients experience chest pain.

Surgical repair and long-term results in ruptured sinus of Valsalva aneurysm. Ruptured aneurysm of the sinus of Valsalva associated with an atrial septal aneurysm. During the closure, transesophageal echocardiogram is a very useful assisting tool permitting the adequate placing of the closure device.

Some patients shown aortic regurgitation signs but generally in VSA it is described a continuous left parasternal murmur, between the III and IV left intercostal space. VSA vxlsalva be associated to trunco-conal defects like ventricular septal defects, aortic insufficiency, pulmonary stenosis or subaortic stenosis. J Am Soc Echocardiogr ; Clinical evolution was satisfactory. Aneurysm of aortic sinuses of Valsalva due to bacterial endocarditis, with special reference to their operative management.

Also, the site towards VSA breaks depends on anerisma location.

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

Ruptured sinus of Valsalva aneurysm in adult age; percutaneous closure with occluder device. Echocardiography and magnetic resonance imaging of a sinus of Valsalva aneurysm with rupture into the ventricle.

A 32 years-old woman without cardiovascular risk factors and no previous cardiovascular disease, began to have progressive dyspnea, palpitations and lower limbs edema, after chest trauma.


A congenital aneurysm is caused by separation or failed fusion of the aortic media layer with the fibrous annulus of the aortic valve.

For now, percutaneous intervention is a feasible and safe intervention for selected cases. InSakakibara and Konno, elaborated the classification which is valid still today. The first reports of ASV appeared in the 19 th century and Lillehei et al.

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

With this technique the associated complications of median sternotomy and cardiopulmonary bypass are avoided; and at the same time a shorter recovery time and hospitalization length of stay are achieved.

She underwent surgical correction through sinusplasty without requiring aortic valve replacement. According to their relationship to the coronary arteries there are three sinuses of Valsalva at the root of the aorta: The present case illustrates the rare coexistence of two congenital malformations, as are sinus of Valsalva aneurysm and aneurysm of the interatrial septum. Los tres pacientes tuvieron insuficiencia cardiaca y soplo continuo.

The patological anatomy of deficiences between the aortic root and the heart, including aortic sinus aneurysms.