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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Aneurysmal dilatation of the sinus of Valsalva is a rare structural cardiac abnormality in children. The diagnosis is confirmed by imaging studies including echocardiography and tomography that in our patients allowed the identification of the affected sinus and the cardiac chamber in which the VSA broke, as well as the measure of the size of the defect, with high correlation with angiographic data.

Regarding complications, the most frequent occurrence is rupture. CASE 2 Male, 25 years old. Are you a health professional able to prescribe or dispense drugs? Received on November 26, ; Accepted on March 29, Congenital aneurysm of the sinus of Valsalva: Another risk factor for aneurysm rupture is hypertension not seen in our patients.

Aneurysm of the sinuses of Valsalva. 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.

All patients clinically manifested heart failure and continuous murmur.

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

Unruptured aneurysm of sinus of Aneurismw into the pulmonary artery. J Cardiovasc Surg, 35valsalga. A Report of 9 Cases. We conclude that is extremely important to have a degree high suspicion of this entity in previously asymptomatic children, with or without cardiac anomalies, who suddenly present this kind of heart failure and abrupt changes in cardiac auscultation.


Traditionally the repair was surgical, untilwhen Cullen performed the first percutaneous closure using a Rashkind umbrella device.

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Ruptured aneurysm of the sinus of Valsalva in oriental patients. Echocardiography and magnetic resonance imaging of a sinus of Valsalva aneurysm with rupture into the ventricle. Aneurysm of the septum primum in adults. According to the VSA location, clinical outcomes vary.

In a four chamber view with posterior angulation, an interatrial septal aneurysm Figure 2 with a 19 mm base and an 11 mm right excursion beyond the vel of the atrial septum was found.

The rupture can be in a single site or multiple places. InOram described the first clinical description. Sinus of Valsalva aneurysms years of a single center experience and systematic overview of published reports.

The latter is a better and faster diagnostic tool, especially when dealing with critically ill patients. Valsalva sinus aneurysms VSA are rare defects, representing 0. Percutaneous closure with Amplatzer septal occluder, guided by three-dimensional transesophageal echocardiography, was carried out, uneventfully. Aneurysms are most frequently localized at the right sinus of Valsalva X-ray chest film showed cardiomegaly and cephalization of blood flow, whereas ECG had signs of left ventricular ssno.

Spontaneous rupture of an aneurysm of the sinus of Valsalva into the right atrium, associated with an atrial septal aneurysm. Navas HerediaC. Surgical treatment was required to close the ventricular septal defect and repair the aorta, swno valvular replacement. Acquired aneurysm of valsaova of Valsalva can develop as the result of traumatic injury, 2 endocarditis, 3 syphilis, 4 Behcet’s srno 5 or Marfan’s syndrome.

They are more common in Asia and India, and affect more aneurixma than females in a 3: No hay muchos casos como estos en la literatura. Un hallazgo interesante fue la presencia de un aneurisma del septum interauricular asociado. Clinically, there is a continuous murmur in the left parasternal area and the examination reveals signs of aortic valve insufficiency.


Cardiac catheterization with contrast medium injected into the ascending aorta showed shunting from the right sinus of Valsalva to the right atrium Figure 3.

Regarding the atrial septal aneurysm, 1,15 this is an infrequent finding in adult patients. Unruptured sinus of Valsalva aneurysm with right ventricular outflow tract obstruction associated with ventricular septal defect. Those of the right sinus obstruct the outflow tract of the right ventricle and can produce pulmonary valve insufficiency or can valszlva the ostium of the right coronary artery.

In fact, connective tissue abnormalities must be suspected when both defects coexist together. This defect had all the features to be deemed an aneurysm, the cutoff criteria reported in an autopsy study by Silver and Dorsey 1 was used.

Aneurysms are generally silent for prolonged periods of time. Congenital sinus of Valsalva aneurysm: Valsalva sinus aneurysms VSA are thin-walled outpouchings due to destruction or weakness df the middle layer of the aorta at the origin of the sigmoid valves, with discontinuity between this layer and the aortic valve fibrous annulus.

The pathology was confirmed by angiotomography. No association with patent foramen ovale was observed with agitated saline solution baseline and Valsalva maneuver. The boy suddenly developed acute prechordal pain, symptoms of low heart output and systolic-diastolic murmur.

J Cardiovasc Surg ; 7:

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