Ruptured Aneurysm of the Sinus of Valsalva into the Right Atrium without Ventricular Septal Defect: A Case Report and Literature Review

Aneurysm of the sinus of Valsalva (ASV), frequently associated with ventricular septal defect (VSD), is a rare cardiac disease that may be acquired or congenital. Rupture of an ASV, rare in the noncoronary cusp, usually produces serious hemodynamic change and carries poor prognosis if not treated su...

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Bibliographic Details
Published in:The Kaohsiung journal of medical sciences 2005-11, Vol.21 (11), p.517-521
Main Authors: Lee, Shuo-Tsan, Lin, Tsung-Hsien, Su, Ho-Ming, Voon, Wen-Chol, Lai, Wen-Ter, Sheu, Sheng-Hsiung, Chiu, Chaw-Chi, Lin, Young-Tso
Format: Article
Language:English
Subjects:
aneurysm
Aneurysm, Ruptured - diagnosis
Aneurysm, Ruptured - surgery
Aortic Aneurysm - diagnosis
Aortic Aneurysm - surgery
Aortic Rupture - diagnosis
Aortic Rupture - surgery
Aortography
Echocardiography
Female
Heart Atria
Humans
Middle Aged
noncoronary cusp
right atrium
rupture
Sinus of Valsalva
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Summary:Aneurysm of the sinus of Valsalva (ASV), frequently associated with ventricular septal defect (VSD), is a rare cardiac disease that may be acquired or congenital. Rupture of an ASV, rare in the noncoronary cusp, usually produces serious hemodynamic change and carries poor prognosis if not treated surgically. We present the case of a 55-year-old female who came to us complaining of exertional dyspnea. Transthoracic echocardiography and aortography showed a noncoronary cusp ASV with rupture into the right atrium but without VSD. Because of high left to right shunt flow, she underwent successful surgical intervention with aneurysm repair approached from both the aorta and right atrium with a knitted Dacron patch. This was a rare case of noncoronary cusp involvement in ASV that ruptured into the right atrium without VSD.
ISSN:1607-551X
2410-8650
DOI:10.1016/S1607-551X(09)70160-3