Rupture of right sinus of Valsalva aneurysm into the pulmonary artery

Rupture of a sinus of Valsalva aneurysm is an uncommon lesion that can occur in any cardiac chamber since the aortic valve occupies a central position in the base of the heart. However, rupture into the pulmonary artery is extremely rare. We describe a case of rupture of an aneurysm of right sinus o...

Full description

Saved in:
Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2015-01, Vol.63 (1), p.52-55
Main Authors: Tsuda, Kazumasa, Koide, Masaaki, Kunii, Yoshifumi, Watanabe, Kazumasa, Miyairi, Satoshi, Ohashi, Yuko, Harada, Takashi
Format: Article
Language:English
Subjects:
Aneurysms
Cardiac Surgery
Cardiology
Case Report
Coronary vessels
Dyspnea
Fistula
Heart failure
Medicine
Medicine & Public Health
Oxygen saturation
Patients
Pulmonary arteries
Surgery
Surgical Oncology
Surgical outcomes
Sutures
Thoracic Surgery
Tomography
Veins & arteries
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Rupture of a sinus of Valsalva aneurysm is an uncommon lesion that can occur in any cardiac chamber since the aortic valve occupies a central position in the base of the heart. However, rupture into the pulmonary artery is extremely rare. We describe a case of rupture of an aneurysm of right sinus of Valsalva into the pulmonary artery of a 51-year-old woman. She had been treated by patch closure of a sub-pulmonary ventricular septal defect and aortic valve replacement due to right coronary cusp prolapse 26 years previously. A massive shunt from Valsalva sinus into pulmonary artery indicated the need of radical operation. The defect in the pulmonary artery wall was closed through a pulmonary arteriotomy with a satisfactory outcome. As far as we know, a case of rupture of a sinus of Valsalva aneurysm into pulmonary artery after the previous operation for VSD has not been reported.
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-013-0275-8