Sinus of Valsalva Aneurysm References
References (1965 - 1997):
1
NLM CIT. ID: 97408579
TITLE: Intraoperative usefulness of transesophageal echocardiography:
detection of unsuspected rupture of an aneurysm of the sinus of
Valsalva.
AUTHOR: Lobato EB; Gravenstein N; Malias MA; Greene MA
ADDRESS:
Department of Anesthesiology, University of Florida College of
Medicine, Gainsville 32610-0254, USA.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: J Cardiothorac Vasc Anesth 1997 Aug;11(5):619-21
2
NLM CIT. ID: 97354910
TITLE: [Surgically treated unruptured sinus of Valsalva aneurysm: a case
report]
AUTHOR: Fukui T; Doi Y; Chikamori T; Seo H; Hitomi N
Matsumura Y; Kitaoka H; Takada J
ADDRESS:
Department of Medicine and Geriatrics, Kochi Medical School.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Jpn
ABSTRACT:
A 73-year-old man was admitted because of progressive dyspnea.
Echocardiography revealed a markedly dilated right sinus of
Valsalva and severe aortic regurgitation. Coaptation loss of the
aortic valve leaflets was thought to be the cause of
regurgitation and congestive heart failure, a rare complication
of the unruptured sinus of Valsalva aneurysm. Surgical treatment
should be considered to prevent life-threatening heart failure
and rupture of the aneurysm even in patients without overt heart
failure.
SOURCE: J Cardiol 1997;29 Suppl 2:67-71
3
NLM CIT. ID: 97323851
TITLE: [The echocardiographic diagnosis of a rare complication of an
aneurysm of the sinus of Valsalva]
AUTHOR: Cabral S; Pimenta A; Gomes MR; Gomes L; Torres S
Pereira LS
ADDRESS:
Servico de Cardiologia, Hospital Geral de Santo Antonio, Porto.
PUBLICATION TYPES:
JOURNAL ARTICLE
REVIEW
REVIEW OF REPORTED CASES
LANGUAGE: Por
ABSTRACT:
We report the case of a patient with complete heart block caused
by extension of a congenital aneurysm of the sinus of Valsalva
into the upper interventricular septum, which was diagnosed by
transthoracic and transesophageal echocardiography. We emphasize
the rarity of this pathology and the value of transesophageal
echocardiography in its assessment, providing a complete
anatomicofunctional characterization and allowing surgical repair
without previous cardiac catheterization.
SOURCE: Rev Port Cardiol 1997 Apr;16(4):393-6, 352
4
NLM CIT. ID: 97350213
TITLE: Repair of a ruptured sinus of Valsalva aneurysm. Associated with
annuloaortic ectasia and coarctation of the aorta in a patient
with Marfan syndrome.
AUTHOR: Tesler UF; Lisanti P; Fiorilli R
ADDRESS:
Division of Cardiac Surgery, Ospedale San Carlo, Potenza, Italy.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
We report the case of a 16-year-old boy with Marfan syndrome who
presented in severe congestive heart failure secondary to rupture
of an aneurysm of the sinus of Valsalva into the right atrium, a
condition that was aggravated by coarctation of the aorta. The
patient also had a large aneurysm of the ascending aorta with the
characteristics of annuloaortic ectasia. The patient underwent
successful surgical correction and is asymptomatic 3 years after
the repair.
SOURCE: Tex Heart Inst J 1997;24(2):134-8
5
NLM CIT. ID: 97326039
TITLE: Aortic insufficiency and stenosis in unruptured aneurysm of sinus
of Valsalva [letter]
AUTHOR: Yuan SM
PUBLICATION TYPES:
LETTER
LANGUAGE: Eng
REGISTRY NUMBERS:
0 (Fibrinolytic Agents)
SOURCE: Int J Cardiol 1997 May 23;59(3):321-2
6
NLM CIT. ID: 97276375
TITLE: Huge aneurysm of the sinus of Valsalva following infective
endocarditis in Behcet's disease.
AUTHOR: Okada K; Sasako Y; Nakano K; Isobe F; Kosakai Y
Kitoh Y; Eishi K
ADDRESS:
Department of Cardiovascular Surgery, National Cardiovascular
Center, Osaka, Japan.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
A huge aneurysm of the sinus of Valsalva with conduction
disturbance as a consequence of infective endocarditis in
Behcet's disease is reported. The aneurysm extended not only
into the ventricular septum but also to the right atrium and
ventricle, with a complicated cavity formation. We speculate that
complete atrioventricular block occurred due to an enlargement of
the aneurysm into the ventricular septum, leading to a direct
conduction system injury. Preoperative echocardiography and
aortography were insufficient to recognize the extent of the
lesion; subsequent operative examination revealed the true size.
At operation, it is important to understand the lesion dimensions
fully in order that appropriate surgical procedures be performed.
SOURCE: J Heart Valve Dis 1997 Mar;6(2):179-80
7
NLM CIT. ID: 97199765
TITLE: [Aneurysm of the sinus of Valsalva]
AUTHOR: Sugama M
ADDRESS:
Department of Cardiovascular Surgery, Makiminato Central
Hospital.
PUBLICATION TYPES:
JOURNAL ARTICLE
REVIEW
REVIEW, TUTORIAL
LANGUAGE: Jpn
SOURCE: Ryoikibetsu Shokogun Shirizu 1996;(13):323-5
8
NLM CIT. ID: 97189686
TITLE: Ruptured aneurysm of the sinus of Valsalva.
AUTHOR: Islam MN; Zafar A; Bashar MA; Khan MN; Alimuzzaman M
ADDRESS:
Institute of Postgraduate Medicine & Research, Dhaka.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
The objective of the present study was to assess the value of
imaging techniques in the diagnosis of ruptured aneurysm of sinus
of Valsalva (RASV). 38 patients were included in the study. 30
were male and 8 female. Their age ranged from 7 to 55 years (mean
25.8 years). Echocardiographic and doppler studies were done in
all cases and 20 patients underwent catheterization and
angiography. Two patients were asymptomatic, 20 (53%) had acute
onset of symptoms and in the remaining 16 (42%) patients symptoms
developed gradually. Twenty two (58%) patients were in NYHA
functional class III or IV when first seen. Predominant symptoms
were dyspnea (79%), palpitation (55%) and chest pain (52%). A
continuous machinery murmur was detected in all the patients with
associated thrill in 34 patients. Right coronary sinus (RCS) was
the most common sinus involved (89%) followed by the noncoronary
sinus (NCS) which was involved in 11% of patients. None of the
patients in our series had aneurysm of the left coronary sinus.
Twenty eight of the 34 RCS aneurysms ruptured into the right
ventricular outflow tract (RVOT), 4 into right ventricular cavity
(RVC), one into right atrium (RA) and one dissected into the
ventricular septum and subsequently ruptured into the left
ventricle. Of the 4 NCS aneurysms, 2 ruptured into RVC, one into
RA and one into both the RA and RVC. Associated ventricular
septal defect (VSD) was found in 10 (26%) patients and all of
these patients had RCS aneurysm that ruptured into the RVOT.
Aortic regurgitation (AR) was detected in 16 (42%) cases.
Discrete subaortic stenosis was detected in one patient who also
had associated VSD and AR. Vegetation of the aortic valve was
detected in one patient who had RCS aneurysm. Twelve patients (11
male and one female) underwent surgical correction, 10 with and 2
without prior catheterization. Localization of the involved
sinus, site of rupture and associated cardiac lesions by
echocardiography and doppler study were found accurate at surgery
and/or angiography in 22 cases of our series. Imaging techniques,
thus appeared to be reliable tools for the diagnosis of RASV.
SOURCE: Bangladesh Med Res Counc Bull 1996 Apr;22(1):19-26
9
NLM CIT. ID: 97154020
TITLE: Ruptured sinus of Valsalva aneurysm in a patient with autosomal
dominant polycystic kidney disease.
AUTHOR: Sprung RF; Litwin SE; Bull DA; Marks ML; Gregory MC
Cataldo RM
ADDRESS:
Division of Cardiology, University of Utah Medical Center, Salt
Lake City 84132, USA.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: West J Med 1996 Dec;165(6):379-82
10
NLM CIT. ID: 97179899
TITLE: [A case of extracardiac noncoronary sinus Valsalva aneurysm
associated with aortic regugitation]
AUTHOR: Kochi K; Kanzaki Y; Nakamura T; Komiya T; Ishii O
Yamazaki K
ADDRESS:
Heart Institute, Kurashiki Central Hospital, Japan.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Jpn
ABSTRACT:
A case of extracardiac noncoronary sinus Valsalva aneurysm was
reported. A 11-year-old male with history of mild AR was admitted
to the hospital due to severe AR. Echocardiography revealed that
the severe AR and an aneurysm in the posterior part of the
ascending aorta. Angiography revealed that the origin of the
aneurysm was noncoronary sinus. Operative findings showed that
the aneurysm sized 23 mm by 25 mm was an extracardiac type which
grew posteroinferiorily at the left side of noncoronary sinus and
that the dilation. Neither aortic valve nor the aortic route
showed degenerative change. The ptosis of the valvular ring due
to aneurysmal dilation of the noncoronary sinus caused AR. Then,
valve repair composed by commissuroplasty and commissural
suspension was carried out. And intraluminal patch closure
technique in which the longitudinal diameter of patch was half of
that of the aneurysm was effective on suspension of the valvular
ring. Postoperative echocardiography showed decreasing of AR.
SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1997 Jan;45(1):84-7
11
NLM CIT. ID: 97117375
TITLE: Sinus of Valsalva aneurysm presenting as myocardial infarction
during dobutamine stress test.
AUTHOR: Ferreira AC; Bolooki H; Mayor M; de Marchena E
ADDRESS:
Department of Medicine, University of Miami School of Medicine,
FL 33136, USA.
PUBLICATION TYPES:
JOURNAL ARTICLE
REVIEW
REVIEW OF REPORTED CASES
LANGUAGE: Eng
REGISTRY NUMBERS:
34368-04-2 (Dobutamine)
ABSTRACT:
We report a patient with an undiagnosed left sinus of Valsalva
aneurysm who, during a dobutamine stress test, had myocardial
injury and subsequent infarction. Cardiac catheterization
revealed an expanding sinus of valsalva aneurysm compressing the
circumflex coronary artery. The clinical manifestations of sinus
of Valsalva aneurysm are discussed. This report heightens
awareness of the possible effects of the pharmacologic stress
test.
SOURCE: Cathet Cardiovasc Diagn 1996 Dec;39(4):400-2
12
NLM CIT. ID: 97145234
TITLE: [A case report of an infundibular ventricular septal defect with
severe right ventricular outflow tract obstruction due to
aneurysm of the aortic sinus of valsalva]
AUTHOR: Shuntoh K; Yamaguchi A; Miki T; Noji S; Kimura S
Kitamura N
ADDRESS:
Department of Cardiovascular Surgery, Osaka National Hospital,
Japan.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Jpn
ABSTRACT:
This paper describes the case of a 46-year-old female. Upon
contacting infective endocarditis at the age of 39 years, she was
diagnosed with a ventricular septal defect (VSD). Because dyspnea
gradually worsened, she was later hospitalized. Cardiac
catheterization was performed and angiograms were taken,
revealing an infundibular VSD accompanied by severe right
ventricular outflow tract obstruction (RVOTO) due to aneurysm of
aortic sinus of valsalva and to mild aortic regurgitation caused
by prolapsing aortic valve. The operative procedure consisted of
the closure of the aortic sinus fistula by continuous suture
after excision of the aneurysmal sac and patch closure of the VSD
without treatment of the prolapsing aortic valve. After the
operation, RVOTO improved and aortic regurgitation disappeared.
The patient was discharged and has since been well.
SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1996 Dec;44(12):2183-6
13
NLM CIT. ID: 97098779
TITLE: Spontaneous echocardiographic contrast within an unruptured sinus
of Valsalva aneurysm: a potential embolic source diagnosed by
transesophageal echocardiography.
AUTHOR: Steinberg E; Kronzon I; Bosco J; Wun H
ADDRESS:
Department of Medicine, New York University Medical Center, NY,
USA.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
A 75-year-old male patient had an unexplained transient ischemic
attack. Transesophageal echocardiography revealed a large,
unruptured Sinus of Valsalva aneurysm which contained spontaneous
echo contrast. This finding represents a potential source of
embolism.
SOURCE: J Am Soc Echocardiogr 1996 Nov-Dec;9(6):880-1
14
NLM CIT. ID: 97169177
TITLE: Echocardiography and magnetic resonance imaging of sinus of
Valsalva aneurysm with rupture into the ventricle.
AUTHOR: Kulan K; Zengin M; Komsuoglu B; Tuncer C; Kulan C
ADDRESS:
Department of Cardiology, Medical School, Black Sea Technical
University, Trabzon, Turkey.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
A 53 year-old man with rupture of sinus of Valsalva aneurysm into
the right ventricle diagnosed by two dimensional echocardiography
(2DE), magnetic resonance imaging (MRI), and catheterisation
study is reported in this paper. Despite the fact that its
incidence is low, early diagnosis is very important in this
illness because of the possibility of complete cure with surgery.
In this study it was shown that MRI as well as 2DE is an
excellent diagnostic method for this illness. The diagnosis was
also confirmed with surgery in this patient.
SOURCE: J Cardiovasc Surg (Torino) 1996 Dec;37(6):639-41
15
NLM CIT. ID: 97039553
TITLE: Unruptured congenital aneurysm of the right sinus of Valsalva.
Dissecting into the interventricular septum.
AUTHOR: Kalimanovska-Ostric D; Avramovic D; Ostric V
Krotin M; Petrovic P; Ostojic M
ADDRESS:
Institute of Cardiovascular Disease, Clinical Centre of Serbia,
Belgrade, Yugoslavia.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
We report the case of a congenital aneurysm of the right sinus of
Valsalva dissecting into the interventricular septum in a
21-year-old man. This condition was diagnosed by echocardiography
and magnetic resonance imaging. In particular, transthoracic and
transesophageal color-coded Doppler echocardiography showed that
there was no communication between the aneurysm and the
surrounding heart chambers. The findings were confirmed by
angiography. Heart enlargement and other symptoms and signs of
heart failure indicated surgical repair of the lesion. Early
postoperative dehiscence of the sutured orifice was accurately
diagnosed with Doppler echocardiography and angiography.
Reintervention was successful in filling and sealing the septal
cavity. This case confirms the reported difficulties in the
surgical correction of aneurysms of sinus of Valsalva lying
within the interventricular septum.
SOURCE: Tex Heart Inst J 1996;23(3):217-21
16
NLM CIT. ID: 97047943
TITLE: Fatal myocardial ischemia caused by compression of the left
coronary system by a large left sinus of Valsalva aneurysm.
AUTHOR: Bashour TT; Baladi N; Mason DT; Yap A; Chen F
ADDRESS:
The San Francisco Heart Institute at Seton Medical Center, Calif.
55417, USA.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: Am Heart J 1996 Nov;132(5):1050-2
17
NLM CIT. ID: 96378340
TITLE: An unusual case of ruptured aneurysm of sinus of Valsalva.
AUTHOR: Lim ST; Ding ZP; Lau KW
ADDRESS:
Department of Cardiology, Singapore General Hospital, Singapore
Heart Centre, Singapore.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
Ruptured congenital aneurysms of the noncoronary aortic sinus
shunting into both the right atrium and right ventricle are
extremely rare. We present here such an anomaly in a 40-year-old
man, focusing on the diagnostic reliability of echocardiography
and the unusual angiographic features of the aortic sinus
aneurysm in this patient.
SOURCE: Singapore Med J 1996 Feb;37(1):115-6
18
NLM CIT. ID: 96304099
TITLE: [A case of ruptured sinus of Valsalva aneurysm with bicuspid
aortic valve]
AUTHOR: Ohkado A; Shiina Y; Hirota J; Akiyama K
ADDRESS:
Department of Cardiovascular Surgery, Iwaki Kyoritsu General
Hospital, Japan.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Jpn
ABSTRACT:
A 40-year-old male underwent operation with a suspected diagnosis
of a ruptured of Valsalva aneurysm and a bicuspid aortic valve.
The aneurysm with an apical rupture protruded into the membranous
septum, between the leaflets of the tricuspid valve. The aortic
valve was bicuspid, with the aneurysm originating from the right
sinus of Valsalva. We presume that the bicuspid aortic valve
tends to cause the sinus of Valsalva aneurysm in point that each
coronary sinus is given excessive pressure compared with that in
the normal aortic valve. Rarity of the combined cases is possibly
because the bicuspid aortic valve is frequent while the sinus of
Valsalva aneurysm is rare in Western countries and vice versa in
Japan.
SOURCE: Kyobu Geka 1996 Jul;49(7):567-9
19
NLM CIT. ID: 96403794
TITLE: Unruptured sinus of Valsalva aneurysm with right ventricular
outflow tract obstruction associated with ventricular septal
defect.
AUTHOR: Liang CD; Kao CL; Chang JP
ADDRESS:
Department of Pediatrics, Chang Gung Memorial Hospital,
Kaohsiung, Taiwan, Republic of China.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
We describe an aneurysm originating from the right sinus of
Valsalva, with right ventricular outflow tract obstruction
associated with ventricular septal defect, in a 9-year-old boy.
Diagnosis was made by echocardiography and cardiac
catheterization. Successful surgical repair of ventricular septal
defect and aortic valvuloplasty resulted in symptomatic
improvement.
SOURCE: Cathet Cardiovasc Diagn 1996 Feb;37(2):158-61
20
NLM CIT. ID: 96439816
TITLE: Unruptured aneurysm of the sinus of Valsalva.
AUTHOR: Malcolm I
ADDRESS:
Cardiology Division, Royal Victoria Hospital, McGill University,
Montreal, Quebec.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
REGISTRY NUMBERS:
20830-75-5 (Digoxin)
ABSTRACT:
A 50-year-old man with 'presyncope' is presented. He was found to
have an aneurysm of the right coronary sinus of Valsalva and an
aneurysm of the noncoronary sinus. Neither aneurysm had ruptured.
It is postulated that the patient's symptoms were related to
partial obstruction of the right ventricle. Other potential
complications of an unruptured aneurysm of the sinus of Valsalva
are discussed.
SOURCE: Can J Cardiol 1996 Sep;12(9):783-5
21
NLM CIT. ID: 96254253
TITLE: [Rupture of the aneurysm of the sinus valsalva: thirteen years
after the initial diagnosis]
AUTHOR: Shida T; Sakata M; Nohara H; Wakita N
ADDRESS:
Department of Cardiovascular Surgery, Kobe Rohsai Hospital,
Japan.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Jpn
ABSTRACT:
We report a case of an unruptured aneurysm of the sinus Valsalva
(URASV) which was followed thirteen years without surgery. A
47-year-old female had a heart murmur detected at age 34 during
pregnancy. Though an URASV was diagnosed, because the aneurysm
was less than 1 cm in size, no surgery was advised at that time.
Thirteen years later, she gradually noticed of increased heart
beats and also dyspnea on exertion. Echocardiogram showed an
aneurysm of the sinus Valsalva ruptured to the RV cavity. In June
1994, resection of the aneurysm was performed. One year later,
the patient was asymptomatic. This may be the second longest
long-term follow-up report of the patient with an unruptured
aneurysm of the sinus Valsalva.
SOURCE: Kyobu Geka 1996 Jun;49(6):479-81
22
NLM CIT. ID: 96307975
TITLE: [Giant isolated extracadiac unruptured aneurysm of the right
coronary sinus of valsalva--a case report]
AUTHOR: Mizushima T; Nakano S; Satou H; Shimazaki Y
Takahashi T
ADDRESS:
First Department of Surgery, Osaka University, Suita, Japan.
PUBLICATION TYPES:
JOURNAL ARTICLE
REVIEW
REVIEW OF REPORTED CASES
LANGUAGE: Jpn
ABSTRACT:
A giant isolated extracardiac unruptured aneurysm of the right
coronary sinus of Valsalva was detected incidentally in a
24-year-old man with clinical findings of Ehlers-Danlos syndrome.
The right coronary artery was occluded at its ostial resion.
Surgical correction was performed by obliterating the orifice of
the aneurysm with a Dacron patch. Microscopic examination of the
diseased aortic wall revealed absence of medial elastic fibers.
Collective review of 19 reported similar cases revealed that
reports concerning unruptured, isolated giant sinus of Valsalva
aneurysm were rare, especially in young patients, and that the
aneurysm of this patient was the largest.
SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1996 Feb;44(2):202-7
23
NLM CIT. ID: 96326571
TITLE: Aneurysm of the left sinus of Valsalva. An unusual source of
cerebral embolism.
AUTHOR: Stollberger C; Slany J; Prainer C; Fenninger C
Seitelberger R
ADDRESS:
Zweite medizinische, Abteilung der Krankenanstalt Rudolfstiftung,
Vienna, Austria.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
BACKGROUND: Aneurysm of the ascending aorta is rarely reported as
the source of emboli. We report a patient with a minor stroke in
whom a saccular aneurysm of the left sinus of Valsalva was
diagnosed as the presumed source of cerebral embolism. CASE
DESCRIPTION: A 49-year-old right-handed woman presented 10 days
after sudden onset of right-sided hemiparesis. Her history was
uneventful apart from an acute inflammation of the subcutaneous
tissue in the right leg 20 years earlier. A diastolic murmur was
heard best over the third left intercostal space. Results of
duplex ultrasound investigation of the cerebral vessels, chest
x-ray, and electrocardiography and biochemical and hematological
variables were normal. CT of the brain showed a small hypodense
area in the left frontal region. Transthoracic and
transesophageal echocardiography detected moderate aortic
regurgitation and a saccular aneurysm originating from the left
sinus of Valsalva. The aneurysm had calcified walls and contained
thrombotic material. Surgical closure of the aneurysm with a
pericardial patch was performed to prevent recurrent embolism and
rupture. Coaptation of the aortic valves was achieved, and no
residual aortic regurgitation could be detected. CONCLUSIONS: We
conclude that an unruptured sinus of Valsalva aneurysm should be
included in the list of sources of embolism. Transthoracic
echocardiography establishes the diagnosis. Transesophageal
echocardiography provides additional information about the origin
and size of the aneurysm and presence of thrombotic material.
Surgical closure of the aneurysm prevents rupture and recurrent
embolism and possibly corrects aortic regurgitation.
SOURCE: Stroke 1996 Aug;27(8):1424-6
24
NLM CIT. ID: 96294639
TITLE: Chest case of the day. Rupture of a sinus of Valsalva aneurysm
into the right ventricle.
AUTHOR: Dee PM
ADDRESS:
Department of Radiology, University of Virginia, Charlottesville
22908, USA.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: AJR Am J Roentgenol 1996 Jul;167(1):234, 236-8
25
NLM CIT. ID: 96110162
TITLE: Subtotal rarefication of one aortic leaflet in a bicuspid aortic
valve due to large aneurysm of left Valsalva's sinus.
AUTHOR: Cottogni M; Wicke K; Antretter H
ADDRESS:
Department of Surgery I, University of Innsbruck, School of
Medicine, Austria.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
In a 39-year-old man an isolated, unruptured extracardiac
aneurysm of the left sinus of Valsalva led to almost complete
rarefication of one aortic valve leaflet, causing insufficiency
of the valve. At operation the aneurysm entrance was closed with
a patch and prosthetic replacement of the bicuspid aortic valve
was performed. The result was satisfactory.
SOURCE: Scand J Thorac Cardiovasc Surg 1995;29(2):87-90
26
NLM CIT. ID: 96120679
TITLE: Congenital aneurysm of the sinus of Valsalva dissecting into the
interventricular septum.
AUTHOR: Abad C
ADDRESS:
Department of Cardiovascular Surgery, Hospital N.S. Pino, C/Angel
Guimera, Gran Canaria, Spain.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
The case of a 57-year-old man with a congenital aneurysm of the
right sinus of Valsalva dissecting into the interventricular
septum is presented. The patient had a previous heart block and
aortic insufficiency. The diagnosis was made by echocardiography
and cardiac catheterization. Open-heart surgery was performed,
closing the entrance of the aneurysm and replacing the aortic
valve. The patient survived surgery and is in New York Heart
Association functional class II 3 years after surgical repair.
Other cases of this uncommon congenital heart disease are
reviewed.
SOURCE: Cardiovasc Surg 1995 Oct;3(5):563-4
27
NLM CIT. ID: 96138335
TITLE: [The perforation of a right-coronary sinus of Valsalva aneurysm
into the right atrium]
AUTHOR: Elsner M; Oelert H; Kasper W
ADDRESS:
Medizinische Klinik I, St.-Josefs-Hospital, Wiesbaden.
PUBLICATION TYPES:
JOURNAL ARTICLE
REVIEW
REVIEW OF REPORTED CASES
LANGUAGE: Ger
ABSTRACT:
HISTORY AND CLINICAL FINDINGS: A 58-year-old man [correction of
woman] without previous cardiac symptoms developed exertional
dyspnoea and peripheral oedema which markedly increased within a
two-week period. Auscultation revealed a 4/6-5/6 holosystolic and
diastolic machinery murmur. EXAMINATIONS: Transthoracic and
multiplane transoesophageal echocardiography established the
diagnosis of a 3 cm aneurysm of the right coronary sinus of
Valsalva with clearly demarcated rupture into the right atrium,
with a large left to right shunt shown on colour-Doppler
echocardiography. These findings were confirmed on cardiac
catheterisation. There was no sign of coronary heart disease.
TREATMENT AND COURSE: At open-heart surgery the aneurysm was
resected, the defect closed with an autologous pericardial patch
and the tricuspid valve reconstructed. On follow-up examination
the result remained excellent and the patient was free of
symptoms. CONCLUSION: In ruptured aneurysm of the coronary sinus
of Valsalva, multiplane transoesophageal echocardiography
provides exact diagnosis and optimal planning of the operative
procedure.
SOURCE: Dtsch Med Wochenschr 1995 Dec 15;120(50):1728-33
28
NLM CIT. ID: 96105256
TITLE: Morphometric features of ruptured congenital sinus of Valsalva
aneurysm: implication for surgical treatment.
AUTHOR: van Son JA; Starr A; Sim EK
ADDRESS:
Heart Institute, St. Vincent Hospital, Portland, Oregon, USA.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
Five hearts with ruptured congenital sinus of Valsalva aneurysm
were studied. In 3 hearts of Caucasian patients, the sinus of
Valsalva aneurysms were located in the immediate vicinity of the
commissure between the noncoronary and right aortic cusps with
rupture from the noncoronary sinus to the right atrium (n = 2)
and from the right sinus to the right ventricle (n = 1). In 2
hearts of indigenous North Americans, the defects were sited in
the immediate vicinity of the commissure between right and left
aortic cusps with rupture into the right ventricle; both patients
had an associated conal septal hypoplasia ventricular septal
defect and aortic insufficiency. The diameters of the rupture
holes at the base of the sinus of Valsalva aneurysms in the five
hearts ranged from 0.4 to 1.1 cm (mean 0.7 cm). Histologic
examination of longitudinal sections through the ruptured sinus
of Valsalva showed 0.8 to 1.7 cm (mean 1.1 cm) wide areas in
which there was lack of continuity between the aortic media and
the aortic annulus. Conclusions. This study shows that the site
of congenital weakness in sinus of Valsalva aneurysm in
indigenous North American patients may be similar to that in
Oriental patients, whereas the site tends to be different in
Occidental patients. It also emphasizes the importance of patch
closure rather than suture closure of ruptured sinus of Valsalva
aneurysms.
SOURCE: J Cardiovasc Surg (Torino) 1995 Oct;36(5):433-6
29
NLM CIT. ID: 95366662
TITLE: Left coronary sinus of Valsalva aneurysm: an extremely rare
malformation. A case report.
AUTHOR: Tahir MZ; al Ebrahim K; Rustom M
ADDRESS:
Al Hada Military Hospital, Taif, Kingdom of Saudi Arabia.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
The authors describe a sixty-four-year-old man who underwent
coronary angiography for angina pectoris and was found to have a
left coronary sinus aneurysm--an extremely rare malformation.
SOURCE: Angiology 1995 Aug;46(8):753-8
30
NLM CIT. ID: 95348347
TITLE: Ruptured sinus of Valsalva aneurysm: cine phase-contrast MR
characterization.
AUTHOR: Ho VB; Sahn DJ; Kinney JB
ADDRESS:
Department of Radiology, Madigan Army Medical Center, Tacoma, WA
98431-5000, USA.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
Congenital sinus of Valsalva aneurysms are rare anomalies that
usually go undetected unless they rupture. We report a case of a
ruptured congenital sinus of Valsalva aneurysm, detected with
cine phase-contrast MRI.
SOURCE: J Comput Assist Tomogr 1995 Jul-Aug;19(4):652-6
31
NLM CIT. ID: 95347027
TITLE: Aneurysm of the aortic sinus of Valsalva with reversed shunt of
ductus arteriosus.
AUTHOR: Liang CD; Su WJ
ADDRESS:
Department of Pediatrics, Chang Gung Memorial Hospital,
Kaohsiung, Taiwan.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
A rare case of aneurysm of aortic sinus of Valsalva associated
with patent ductus arteriosus and Eisenmenger's syndrome in a
7-yr-old boy is described. The diagnosis was made by
echocardiography and cardiac angiography.
SOURCE: Cathet Cardiovasc Diagn 1995 Apr;34(4):333-6
32
NLM CIT. ID: 95297927
TITLE: [Rupture of sinus of Valsalva aneurysm]
AUTHOR: Hoss AJ; Baldi AB; Petterson CH
ADDRESS:
CENTROCOR, Centro de Diagnostico Cardiovascular de Santa Cruz do
Sul.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Por
ABSTRACT:
A 35 year-old man with aneurysm of the noncoronary sinus of
Valsalva ruptured into the right atrium, detected by
echodopplercardiogram and submitted to surgical correction is
reported. The authors discuss peculiar aspects of this disease,
with emphasis to the echodopplercardiographic diagnosis.
SOURCE: Arq Bras Cardiol 1994 Sep;63(3):219-21
33
NLM CIT. ID: 95294100
TITLE: Ruptured aneurysm of the sinus of Valsalva. Clinical review,
treatment results.
AUTHOR: Wos S; Iwinski J; Korzeniowska B; Toczek K
Domaradzki W; Jasinski M; Ceglarek W; Bachowski R; Matuszewski M
ADDRESS:
II Department of Cardiac Surgery, Silesian Medical Academy,
Katowice, Poland.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
REGISTRY NUMBERS:
0 (Polyethylene Terephthalates)
0 (Polypropylenes)
ABSTRACT:
Five patients were operated on because of ruptured aneurysm of
the sinus of Valsalva. In the cases with no concomitant VSD the
surgical access from the aorta was used. The aorta was opened and
the Fogarty catheter was introduced to the fistula. The "wind
sock" of the aneurysm was pulled back to the aorta and excised.
The opening was closed with double-line pledgetted polypropylene
sutures. In severe aortic incompetence mechanical prostheses were
implanted. One patient had bacterial endocarditis with reopening
of the fistula and aortic valve incompetence that required
reoperation. All patients are in a good clinical state. We
recommend the use of Dacron patches even in small aneurysms to
avoid re-opening of the fistula.
SOURCE: J Cardiovasc Surg (Torino) 1994 Dec;35(6 Suppl 1):219-22
34
NLM CIT. ID: 95264614
TITLE: [Surgical treatment of ruptured aneurysm of the sinus Valsalva]
AUTHOR: Yoshikai M; Itoh T; Natsuaki M; Nakayama Y; Doi K
Sakuragi T
ADDRESS:
Department of Thoracic and Cardiovascular Surgery, Saga Medical
School, Japan.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Jpn
ABSTRACT:
A case of 31-year-old man with ruptured aneurysm of the sinus
Valsalva into right atrium originating from noncoronary sinus
(Konno's classification type IV) was presented. Patch closure of
the defect was carried out through aortotomy followed by
resection and direct closure of the aneurysm from right atrium.
When placing the patch, pledgetted mattress sutures were passed
to the aortic annulus from left ventricle to aorta. It could
avoid distortion of aortic valve cusp. Attempting surgical
treatment for this type of aneurysm, repair of the defect should
be performed through aortotomy to ensure the repair and avoid
recurrence of aneurysm, injury to aortic valve and conduction
system. Repair from aorta is mandatory, and it is also necessary
to open right atrium for the exact inspection of tricuspid valve.
SOURCE: Kyobu Geka 1995 May;48(5):385-7
35
NLM CIT. ID: 95238057
TITLE: Echocardiography of sinus of Valsalva aneurysm with rupture into
the right atrium.
AUTHOR: Missault L; Taeymans Y; Callens B
ADDRESS:
Department of Cardiology, University Hospital, Ghent, Belgium.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
Before the advent of modern techniques, diagnosing unruptured
sinus of Valsalva aneurysm in the living patient was rare, with
most of the reports coming from autopsy or surgery. Once rupture
occurs however, characteristic symptoms and signs, such as
precordial distress, a continuous murmur over the base of the
heart, pulmonary congestion, and congestive heart failure,
usually occur rather abruptly. We describe a case of ruptured
aneurysm of the non-coronary sinus of Valsalva diagnosed by
transthoracic echocardiography and Doppler as a single
examination for quickly establishing a correct diagnosis in
patients with a new continuous murmur.
SOURCE: Int J Cardiol 1995 Jan 6;47(3):269-72
36
NLM CIT. ID: 95238041
TITLE: Ruptured aneurysm of the sinus of Valsalva in a patient with
Behcet's disease.
AUTHOR: Koh KK; Cho SW; Jin SH; Lee SC; Kim SS; Lee KH
ADDRESS:
Division of Cardiology, Inha University Hospital, Kyunggi-do,
Korea.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
The vast majority of sinus of Valsalva aneurysm originated from a
localized congenital defect of the aortic media and less
frequently from infections or degenerative processes affecting
the aortic wall. But aneurysm of sinus of Valsalva has not been
reported up to the present in a patient with Behcet's disease.
We report a 39-year-old woman presenting ruptured aneurysm of the
sinus of Valsalva and Behcet's disease.
SOURCE: Int J Cardiol 1994 Dec;47(2):177-9
37
NLM CIT. ID: 95216912
TITLE: [Triple aneurysm of the Valsalva sinus complicated by right
coronary occlusion: apropos of a case and review of the
literature]
AUTHOR: Chakfe N; Wolff F; Brechenmacher C; Zupan M
Gasser B; Nicolini P; Kretz JG
ADDRESS:
Service de Chirurgie Cardio-Vasculaire, Les Hopitaux
Universitaires de Strasbourg.
PUBLICATION TYPES:
JOURNAL ARTICLE
REVIEW
REVIEW LITERATURE
LANGUAGE: Fre
ABSTRACT:
We report a case of aneurysm of all three aortic sinuses. The
patient suffered from both cardiac failure and angina pectoris.
The diagnosis, suggested by echocardiography, was confirmed by
magnetic resonance imaging (MRI) which showed marqued dilatation
of all three aortic sinuses. At operation, we observed dilatation
of all three aortic sinuses, measuring 2 to 6 cm and partially
thrombosed. We performed a Bentall operation with reimplantation
of the left coronary artery ostium. The right coronary ostium was
thrombosed and was revascularized by a saphenous vein bypass.
Despite prolonged circulatory assistance and an intra-aortic
balloon counterpulsation, cardiopulmonary bypass could not be
stopped and the patient died. This is a new case of multiple
aneurysms of the aortic sinuses and also a case of aortic sinus
aneurysm (ASA) complicated by coronary insufficiency. This last
complication has a poor prognosis, as demonstrated by a review of
the 28 cases described in the literature. MRI was found to be
important for the diagnosis of the ASA, in combination with
echocardiography and angiography which can underestimate the
aneurysm because of the frequently associated mural thrombus.
SOURCE: Ann Chir 1994;48(9):825-31
38
NLM CIT. ID: 95215618
TITLE: [Aortic insufficiency secondary to an unruptured congenital
aneurysm of the sinus of Valsalva]
AUTHOR: Guia JM; Gracian M; de la Pena J; Castro FJ
ADDRESS:
Seccion de Cardiologia Pediatrica, Hospital Infantil Virgen de
la Arrixaca, Murcia.
PUBLICATION TYPES:
JOURNAL ARTICLE
REVIEW
REVIEW OF REPORTED CASES
LANGUAGE: Spa
ABSTRACT:
Congenital aneurysm of the sinus of Valsalva is an uncommon
entity. Its diagnosis is rare in infancy because most cases are
asymptomatic. This condition is usually detected in adults as
incidental finding or a complication due to aneurysm. We report a
five-year-old asymptomatic child, with a congenital unruptured
aneurysm of the right sinus of Valsalva. It was diagnosed on
two-dimensional and Doppler echocardiography, and confirmed by
angiography showing an aortic regurgitation. The aim of this
publications is to report another case of this rare condition in
pediatric cardiology, which real importance is probably
subestimated because of unusual clinical manifestation.
Nevertheless, the increasing use of the two-dimensional and
Doppler echocardiography will provide much more cases of this
entity. Diagnosis and treatment are reviewed as well as
bibliography.
SOURCE: Rev Esp Cardiol 1995 Mar;48(3):202-4
39
NLM CIT. ID: 95210833
TITLE: An unruptured aneurysm in the right sinus of Valsalva presenting
as coronary insufficiency.
AUTHOR: Okita Y; Watanabe H; Kawashima Y; Hirai H; Morota T
Ando M; Takamoto S
ADDRESS:
Department of Cardiovascular Surgery, National Cardiovascular
Center, Osaka, Japan.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
A giant aneurysm in the right sinus of Valsalva compressed the
right coronary artery and caused angina pectoris in a 44-year-old
man. Surgical correction consisted of obliterating the orifice of
the aneurysm with a Dacron patch and relocating the right
coronary artery. Postoperative angiography demonstrated excellent
results. Pathological study demonstrated the absence of normal
elastic fibers in the media of the aneurysm.
SOURCE: J Card Surg 1995 Jan;10(1):59-64
40
NLM CIT. ID: 95136738
TITLE: Unruptured aneurysm of the left coronary sinus of valsalva
associated with aneurysm of the interventricular septum.
AUTHOR: Wu QY; Xue GX
ADDRESS:
Department of Cardiac Surgery, Cardiovascular Institute and Fu
Wai Hospital, Chinese Academy of Medical Sciences, Beijing.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: Chin Med J (Engl) 1994 Oct;107(10):794-7
41
NLM CIT. ID: 95131506
TITLE: [A case report of surgical repair of a ruptured aneurysm of the
sinus Valsalva in an aged person with cardiac cachexia]
AUTHOR: Iida H; Shimada K; Okamura Y; Mochizuki Y; Mori H
Yamada Y; Sugita Y
ADDRESS:
Department of Cardiothoracic Surgery, Dokkyou University School
of Medicine, Tochigi, Japan.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Jpn
ABSTRACT:
A 71-year-old woman underwent surgical repair of a ruptured
aneurysm of the sinus Valsalva. She had an aneurysm of the right
coronary sinus ruptured into the right atrium. There was no VSD.
The patient suffered from heart failure for 38 years and went
into cardiac cachexia. Direct closure from the right atrium was
performed and the patient has resumed full physical activities.
As far as we know, this is one of the oldest patients who
underwent successful surgery for this disease in this country.
SOURCE: Kyobu Geka 1994 Dec;47(13):1091-3
42
NLM CIT. ID: 95113611
TITLE: Unruptured aneurysm of the left sinus of Valsalva presenting with
atrial fibrillation.
AUTHOR: Walsh JT; Andrews R
ADDRESS:
Department of Cardiovascular Medicine, Queen's Medical Centre,
Nottingham, UK.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
Congenital aneurysms arising from the left sinus of Valsalva are
extremely uncommon, and when unruptured often asymptomatic.
Abnormalities of rhythm are more commonly associated with
dilatation of the right coronary sinus although the reason for
this is unclear. We report the first case of an unruptured
aneurysm involving the left sinus of Valsalva presenting with
paroxysmal atrial fibrillation. Two-dimensional echocardiography
confirmed the diagnosis.
SOURCE: Int J Cardiol 1994 Oct;46(3):297-8
43
NLM CIT. ID: 95043254
TITLE: Long-term outcome of surgical repair of ruptured sinus of
Valsalva aneurysm.
AUTHOR: van Son JA; Seward JB; Edwards WD; Orszulak TA
Schaff HV; Danielson GK
ADDRESS:
Division of Thoracic and Cardiovascular Surgery, Mayo Clinic,
Rochester, MN 55905.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
BACKGROUND: Because not much is known about the longterm results
of surgical treatment of ruptured sinus of Valsalva aneurysm
(RSVA), we reviewed our entire 37-year experience with this
condition. METHODS AND RESULTS: From August 1956 through
September 1993, 31 patients aged 3 to 54 years (median age, 29
years) underwent surgical correction of RSVA. Aneurysms
originated in the right (n = 24) and noncoronary (n = 7) sinuses
and entered the right ventricle in 21 patients and the right
atrium in 10. Coexistence cardiac lesions included ventricular
septal defect (VSD) (n = 16, 15 of which were subarterial) and
aortic valve insufficiency (n = 13). There was a highly
significant correlation between aortic insufficiency and the
presence of an associated subarterial VSD (P < .0001). There was
no hospital mortality. One patient (3.2%) died of endocarditis 9
years after subsequent aortic valve replacement; overall survival
was 95% at 20 years. Two foreign patients were lost to follow-up
after 11 and 13 years, respectively. Follow-up in the remaining
28 survivors extended to 37 years (mean, 25.7 years). Five
patients (16.1%) underwent reoperation for aortic valve
replacement (n = 3), closure of recurrent fistula (n = 1), and
closure of both recurrent fistula and recurrent VSD (n = 1); all
had their primary operation before 1976. All patients who had
reoperation had right sinus of Valsalva-to-right ventricle
fistulas, and 4 had an additional subarterial VSD. Risk of
reoperation was higher with right ventricle fistulas than with
right atrium fistulas, and this approached statistical
significance (P = .06). Risk of reoperation in patients with
right ventricle fistulas was lower when an aortotomy (with or
without right ventriculotomy) was used during repair (1 of 8,
12.5%) versus right ventriculotomy only (4 of 13, 30.8%),
although this did not reach statistical significance (P = .10).
Need for reoperation was increased with the presence of a
subarterial VSD (P = .08) but not with location of fistula or
type of repair (direct suture versus patch). Of 9 patients with
mild aortic insufficiency at primary operation, two developed
late severe aortic insufficiency necessitating aortic valve
replacement at 21 and 31 years, respectively. Twenty-five
patients are in New York Heart Association class I, and 3 are in
class II. CONCLUSIONS: Long-term survival after surgical
treatment of RSVA is excellent. The risk for recurrent fistula or
VSD is minimal in the current era. Late aortic insufficiency is
still a risk, especially in right sinus of Valsalva-to-right
ventricle fistula with associated subarterial VSD. Repair of RSVA
through an aortotomy with or without cardiotomy permits
inspection of the aortic root complex and facilitates aortic
valve repair; this approach may reduce the incidence of late
aortic insufficiency.
SOURCE: Circulation 1994 Nov;90(5 Pt 2):II20-9
44
NLM CIT. ID: 94311200
TITLE: Intracardiac ultrasonographic imaging to diagnose a ruptured
sinus of Valsalva aneurysm.
AUTHOR: Samaha FF; Follman DF; Weinert L; Carroll JD
Abbo KM; Lang R
ADDRESS:
Hans Hecht Hemodynamics Laboratory, University of Chicago Medical
Center, IL 60637-6063.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: Am Heart J 1994 Aug;128(2):409-12
45
NLM CIT. ID: 94280952
TITLE: Transcatheter closure of a ruptured aneurysm of the sinus of
Valsalva.
AUTHOR: Cullen S; Redington A; Somerville J
ADDRESS:
Royal Brompton National Heart and Lung Hospital, London.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: Br Heart J 1994 May;71(5):479-80
46
NLM CIT. ID: 94254476
TITLE: Transaortic repair of ruptured aneurysm of sinus of Valsalva.
Fifteen-year experience.
AUTHOR: Hamid IA; Cherian KM; Monro JL; Rajan S; Jothi M
ADDRESS:
Department of Cardiac Surgery, Southampton General Hospital,
United Kingdom.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
Between 1978 and 1993 a total of 25 cases of ruptured aneurysm of
the sinus of Valsalva underwent transaortic repair at the Railway
Hospital and the Institute of Cardiovascular Diseases at Madras,
India. The aneurysms ruptured into the right ventricle in 20
patients, into the right atrium in 2, into the left ventricle in
1, and into the interventricular septum in 2. They originated
from the right coronary sinus in 22 patients and from the
noncoronary sinus in 3. Associated congenital anomalies included
ventricular septal defect in 21, tetralogy of Fallot in 1, and
pulmonary stenosis in 1. All 25 patients underwent transaortic
repair of the ruptured sinus of Valsalva, and in patients with a
ventricular septal defect the defect also was closed via this
route. The patient with associated pulmonary stenosis had a
pulmonary valvotomy. The patient with tetralogy of Fallot had
infundibular resection, ventricular septal defect closure via a
transatrial route, and a right ventricular outflow patch. No
intraoperative deaths occurred, but one early death resulted from
septicemia and multiorgan failure after rupture of the aneurysm
into the interventricular septum with consequent development of
extensive intramyocardial and epicardial abscesses. One late
death occurred as a result of recurrent subacute bacterial
endocarditis and septicemia. Transaortic repair of ruptured
aneurysm of the sinus of Valsalva can be accomplished with a low
risk of mortality and has the advantage that an associated
ventricular septal defect, which frequently accompanies this
condition, can be conveniently closed via the same route.
SOURCE: J Thorac Cardiovasc Surg 1994 Jun;107(6):1464-8
47
NLM CIT. ID: 94240652
TITLE: Sinus of Valsalva aneurysm: a late complication after repair of
ascending aortic dissection.
AUTHOR: Simon P; Havel M; Wolner E; Mohl W; Ehrlich M
Grabenwoeger M; Anwari A; Kupilik N; Moidl R; Owen AN
ADDRESS:
Surgical Clinic II, University of Vienna, Austria.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
Surgical advances and the introduction of new more rapid and
accurate diagnostic techniques have led to significant
improvement in the survival of patients with aortic aneurysms.
However, considerable long-term morbidity and mortality remains a
concern. In the present study we report on the occurrence of
sinus of Valsalva (SV) aneurysm after repair of the ascending
aorta for aortic dissection as a significant long-term
complication. Since transesophageal echocardiography (TEE) became
available it has been used for the follow-up of 33 hospital
survivors after ascending aortic replacement for a mean of 27 +/-
20 months. Those patients who received a valved conduit were
excluded from this analysis. The aortic valve was conserved in 22
patients: 17 had a dissecting aneurysm involving the ascending
aorta and 4 patients non-dissecting aneurysms. A sinus of
Valsalva diameter > 45 mm was considered an aneurysm and was
found in a total of 7 patients (33%), 5 being patients with
aortic dissection. The overall reoperation rate on account of SV
aneurysms was 24%. We conclude that SV aneurysm is a significant
long-term complication of patients after repair of the ascending
aorta. In the light of these results we have changed our
operative policy of repair to include resorcin glue as a
reinforcing agent or to perform more extensive repair.
SOURCE: Thorac Cardiovasc Surg 1994 Feb;42(1):29-31
48
NLM CIT. ID: 94165128
TITLE: Rupture of a sinus of Valsalva aneurysm due to Aspergillus
endocarditis.
AUTHOR: Hurley J; McGovern E
ADDRESS:
National Cardiac Surgical Unit, Mater Hospital, Dublin, Ireland.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
We report a case of rupture of an acquired sinus of Valsalva
aneurysm secondary to Aspergillus endocarditis in a patient with
chronic lymphocytic leukaemia and idiopathic thrombocytopaenia
purpura. Despite adequate repair and haemodynamic correction,
with an apparent excellent initial result, the patient died of
overwhelming sepsis at twelve days postoperatively. This case
demonstrates an unusual cause of rupture of a sinus of Valsalva
aneurysm and the morbidity associated with immunological
dysfunction in the post-operative period.
SOURCE: J Cardiovasc Surg (Torino) 1994 Feb;35(1):75-7
1
NLM CIT. ID: 94137974
TITLE: Anesthetic implications of a ruptured aneurysm of the sinus of
Valsalva.
AUTHOR: Amar D; Komer CA
ADDRESS:
Department of Anesthesiology and Critical Care Medicine, Memorial
Sloan-Kettering Cancer Center, New York, NY 10021.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
REGISTRY NUMBERS:
33125-97-2 (Etomidate)
50700-72-6 (Vecuronium Bromide)
56030-54-7 (Sufentanil)
SOURCE: J Cardiothorac Vasc Anesth 1993 Dec;7(6):730-3
2
NLM CIT. ID: 94226885
TITLE: [Echocardiographic findings in ruptured sinus of Valsalva
aneurysm]
AUTHOR: Stadler P
ADDRESS:
Klinik fur Pferde, Universitat Hannover.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Ger
SOURCE: Tierarztl Prax Suppl 1993;:29
3
NLM CIT. ID: 94026663
TITLE: Echocardiographic diagnosis of aneurysm of the sinus of Valsalva.
AUTHOR: Dev V; Saxena A; Bahl VK; Shrivastava S; Goswami KC
ADDRESS:
Department of Cardiology, All India Institute of Medical
Sciences, Ansari Nagar, New Delhi.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
Echocardiographic and Doppler data of 62 patients with ASOV are
presented. Catheterization and angiography were performed in 38
cases and surgery in 25 of the 38. The origin of these aneurysms
was the RCS in 56 cases, NCS in 5, and LCS in 1 case. Seven had
unruptured aneurysms, 6 rising from RCS dissected into the
ventricular septum, producing heart block in 4, AR in 5, mitral
regurgitation in 1; 1 aneurysm rising from the LCS was
asymptomatic. In other cases (n = 55) the aneurysm had ruptured
into one of the cardiac chambers. Thirty-two of the 50 RCS
aneurysms ruptured into the RVOT, 13 into the RV cavity, 2 into
the RA, and 3 into the LV. Of the 5 NCS aneurysms, (3 ruptured
into the RA, 1 into the RV, and 1 into both the RA and RV.
Associated VSD was identified in 16 (25.8%) of 62 cases. All of
these patients had RCS aneurysms that ruptured into the RVOT.
Echocardiography missed VSD in three cases that at surgery were
found to have VSD. AR was found in 34 of 62 cases.
Echocardiography picked up discrete subaortic stenosis in two
cases but missed subvalvar PS in 2 of the 3 cases. A detailed
echocardiographic study (two-dimensional, Doppler, and color flow
imaging) is accurate in the diagnosis of ASOV, in the
identification of its site of origin and rupture, and in the
evaluation of the associated defects; in the vast majority of
cases, it can totally supplant the need for angiography.
SOURCE: Am Heart J 1993 Oct;126(4):930-6
4
NLM CIT. ID: 94023500
TITLE: [An autopsy case of the sinus of Valsalva aneurysm involved with
tuberculous inflammation, leading to complete heart block]
AUTHOR: Matsumoto Y; Kume K; Daimaru H; Fukuyama T
Ashihara T; Ogata I; Higuchi S; Ando H; Tagawa H; Kubo T
ADDRESS:
Department of Cardiology, Matsuyama Red Cross Hospital.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Jpn
ABSTRACT:
A case is presented of unruptured aneurysm of the non coronary
sinus of Valsalva, causing involvement of A-V node and right
coronary artery compression. The patient was a 68 year-old woman
with a complaint of general fatigue. Electrocardiogram showed
complete A-V block. Computed tomography showed an aneurysm of the
non coronary sinus of Valsalva. A temporary pacemaker was
implanted, but the patient developed respiratory failure and
heart failure and died. At autopsy, macroscopically disseminated
tuberculosis was noted in both lungs and kidneys. Microscopically
a tuberculous inflammatory lesion extending into the A-V node was
found. We report this rare case with some consideration of the
literature.
SOURCE: Kokyu To Junkan 1993 Sep;41(9):911-5
5
NLM CIT. ID: 93370968
TITLE: [Compression of the coronary trunk by aneurysm of the antero-left
Valsalva sinus associated with acute mitral insufficiency caused
by rupture of the chordae following valvular prolapse. Successful
triple surgical operation in a 66-year old patient]
AUTHOR: Bayada JM; Morand P; Jourdan J; Gibelin P; Corneil G
Giordano P
ADDRESS:
Service de Medecine Interne, Hopital La Palmosa, Menton.
PUBLICATION TYPES:
JOURNAL ARTICLE
REVIEW
REVIEW OF REPORTED CASES
LANGUAGE: Fre
ABSTRACT:
Tearing of the chordae is a common complication of prolapse of
the mitral valve; which becomes increasingly common with age. In
contrast, aneurysm of the Valsalva sinus is rare in patients over
65 years of age. The antero-left sinus is an unusual location,
but may be complicated by compression of the left coronary
artery, which is reported in 16 cases in the literature. The case
reported is unusual due to the combination in a 66-year old
subject of acute mitral incompetence, due to tearing of the
chordae following prolapse of the mitral valve, and an aneurysm
pressing on the coronary trunk whilst remaining asymptomatic.
Complete correction of the lesions was successfully achieved by
surgery.
SOURCE: Ann Cardiol Angeiol (Paris) 1993 Jun;42(6):305-7
6
NLM CIT. ID: 93370254
TITLE: Flail tricuspid valve in ruptured aneurysm of the right sinus of
Valsalva.
AUTHOR: Yanase O; Sugiura M; Maemura T; Tejima T; Nomura S
Motomiya T
ADDRESS:
Department of Cardiology, Tokyo Metropolitan Hiroo General
Hospital, Japan.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: Am Heart J 1993 Sep;126(3 Pt 1):747-9
7
NLM CIT. ID: 93294423
TITLE: [Surgical treatment of ruptured sinus of Valsalva aneurysm]
AUTHOR: Sugimoto T; Higami T; Nishiwaki M; Mukohara N
Asada T; Ogawa K
ADDRESS:
Division of Cardiovascular Surgery, Hyogo Brain and Heart Center,
Himeji, Japan.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Jpn
ABSTRACT:
We operated on 3 patients with ruptured sinus of Valsalva
aneurysm (RSVA). According to the classification by Konno, 2 of
them had type I RSVA where aneurysm originated from the right
coronary sinus rupturing into the right ventricle, and another
type IV where it arose from the non-coronary sinus draining into
the right atrium. Both of the 2 with type I RSVA had accompanied
ventricular septal defect (VSD) of Kirklin type I. One of them
had infective endocarditis with vegetations clinging to the
aortic valve, the pulmonary valve and the right ventricular wall
adjacent to VSD, and aortic regurgitation of grade II
consequently occurred. In this patient, the aortic cusps and the
wall of sinus of Valsalva aneurysm were taken out with
vegetations. The defect of sinus and VSD were closed with one
large patch and a 25 mm SJM aortic valve was implanted using the
patch as a part of annulus. The other patient with type I RSVA
received a direct closure of defect of Valsalva sinus and VSD.
Another patient with type IV RSVA underwent a direct closure of
right atrial wall where aneurysm protruded. All 3 patients are
doing well without shunt and aortic regurgitation. In this paper,
diagnosis, surgical treatment and outcome of RSVA were reviewed.
SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1993 Apr;41(4):643-8
8
NLM CIT. ID: 93263740
TITLE: Rupture of a sinus of Valsalva aneurysm through the tricuspid
septal leaflet.
AUTHOR: Kallis P; Smith EE; de Belder M
ADDRESS:
Department of Cardiological Sciences, St. George's Hospital,
London, United Kingdom.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
We report a case of rupture of an aneurysm of the noncoronary
sinus of Valsalva with the tract of the fistula emerging through
the tricuspid septal leaflet. This rare pathology created a
diagnostic dilemma, as the direction of the jet of blood was
alternating between the right atrium and the right ventricle.
SOURCE: Ann Thorac Surg 1993 May;55(5):1247-8
9
NLM CIT. ID: 93220602
TITLE: Ruptured congenital aneurysm of the sinus of Valsalva with
persistent left superior vena cava imaged by intraoperative
transesophageal echocardiography.
AUTHOR: Flynn MS; Labovitz AJ; McBride LW; Castello R
ADDRESS:
Cardiology Division, St. Louis University Medical Center, MO
63110-0250.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: Am Heart J 1993 Apr;125(4):1185-7
10
NLM CIT. ID: 93213646
TITLE: Unruptured aneurysm of the sinus of Valsalva: a potential source
of cerebrovascular embolism.
AUTHOR: Shahrabani RM; Jairaj PS
ADDRESS:
Department of Cardiology and Cardiovascular Surgery, Royal
Hospital, Muscat, Sultanate of Oman.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
An unruptured aneurysm of the right sinus of Valsalva with
intraluminal thrombus that displaced the right coronary artery
ostium was diagnosed in a 30 year old Omani man who was
investigated for uncontrolled grand mal epilepsy and residual
left hemiparesis caused by occlusion of the right middle cerebral
artery. Surgical intra-aortic closure of the aneurysm, which
necessitated a saphenous vein graft to the right coronary artery,
was successful. An aneurysm of the sinus of Valsalva is an
unusual cause of a thromboembolic cerebrovascular accident.
SOURCE: Br Heart J 1993 Mar;69(3):266-7
11
NLM CIT. ID: 93175322
TITLE: Unruptured sinus of Valsalva aneurysm presenting with
embolization.
AUTHOR: Wortham DC; Gaither NS; Vernalis MN; Hull RW
Gorman PD
ADDRESS:
Cardiology Service, Walter Reed Army Medical Center, Washington,
DC 20307.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: Am Heart J 1993 Mar;125(3):896-8
12
NLM CIT. ID: 93137260
TITLE: [Postendocarditis aneurysm of the right sinus of Valsalva: its
echographic diagnosis with preoperative angiographic
confirmation]
AUTHOR: De Felice M; Toscano M; Le Grottaglie F; Pierli C
ADDRESS:
Cattedra di Cardiologia, Universita degli Studi, L'Aquila.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Ita
ABSTRACT:
The sinus of Valsalva aneurysm is a rare complication of
bacterial endocarditis in infancy and childhood. This report
describes a young man with congenital aortic stenosis and
bacterial endocarditis caused by Salmonella typhi. Bacterial
endocarditis in this young man was complicated by the development
of an aneurysm of the right sinus of Valsalva and a severe aortic
regurgitation. Two-dimensional and Doppler echocardiography
proved useful for the initial diagnosis and serial follow-up of
this unusual disorder. However, an angiographic examination has
been necessary for the surgical correction in order to understand
the relationship between the aneurysm and the coronary arteries.
SOURCE: Cardiologia 1992 Aug;37(8):561-3
13
NLM CIT. ID: 93120715
TITLE: Recurrent hemoptysis due to aortobronchopulmonary fistula of
false aortic aneurysm associated with repair of rupture of the
sinus of Valsalva.
AUTHOR: Ishida A; Asakura T; Hoshino M; Nakashima Y
Hiramatsu T; Ajioka M; Sakai K
ADDRESS:
Department of Internal Medicine, Tosei General Hospital, Seto,
Japan.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
A 54-year-old man presented with recurrent hemoptysis of one year
duration. Computed tomography (CT) and magnetic resonance imaging
(MRI) demonstrated a saccular aneurysm of the ascending aorta.
The aneurysm was intraoperatively found to have formed on the
superior surface of the site of aortotomy suture placed during
previous repair of rupture of the sinus of Valsalva and to have a
fistulous communication to the lung. CT and MRI were very useful
in the diagnosis of the aneurysm as the cause of hemoptysis.
SOURCE: Intern Med 1992 Aug;31(8):1043-6
14
NLM CIT. ID: 93116244
TITLE: [A case report of ruptured aneurysm of the sinus Valsalva
resulted in tricuspid valve endocarditis]
AUTHOR: Yoshikai M; Seto T; Iida Y; Tsuchiya K; Kato J
Ishitoya H
ADDRESS:
Department of Cardiovascular Surgery, Yamanashi Prefectural
Central Hospital.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Jpn
ABSTRACT:
A case of a 42-year-old man with ruptured aneurysm of the sinus
Valsalva resulted in tricuspid valve endocarditis was reported.
The aneurysm originating from the right sinus Valsalva ruptured
into the right atrium, which caused tricuspid valve endocarditis.
The aneurysm was closed through right atrial approach. A part of
the septal leaflet of tricuspid valve including vegetation was
resected and repaired.
SOURCE: Kyobu Geka 1992 Dec;45(13):1194-6
15
NLM CIT. ID: 93103699
TITLE: Unruptured sinus of valsalva aneurysm and bicuspid aortic valve
with aortic cusp perforation: detection by color flow Doppler
mapping.
AUTHOR: Humphreys JD; Davolos DG; Ballerio FO
ADDRESS:
Department of Cardiology, Hospital Britanico, Buenos Aires,
Argentina.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
Congestive heart failure developed in a 53-year-old man with a
history of bicuspid aortic valve, angina, and pericarditis.
Two-dimensional echocardiography showed a sinus of Valsalva
aneurysm related to the anterior coronary sinus and color flow
mapping identified a perforation of the anterior aortic cusp.
These findings were confirmed during surgery.
SOURCE: J Am Soc Echocardiogr 1992 Nov-Dec;5(6):631-4
16
NLM CIT. ID: 93098132
TITLE: Aneurysm of the noncoronary sinus of Valsalva ruptured into the
left atrium.
AUTHOR: Cabanes L; Guerin F; Fouchard J; Donzeau-Gouge P
Berrebi A; VanDamme C; Garcia E
ADDRESS:
Department of Cardiology, Hopital Cochin, Rene Descartes
University, Paris, France.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: Am Heart J 1992 Dec;124(6):1659-61
17
NLM CIT. ID: 93037925
TITLE: [Ruptured aneurysm of the aortic sinus of Valsalva: clinical
course, diagnosis, and treatment]
AUTHOR: Rangel-Abundis A; Verdin Vazquez R; Martinez E
Enciso R; Soberanis-Torruco C; Badui E
ADDRESS:
Department de Hemodinamia, Centro Medico La Raza. I.M.S.S.
Mexico, D.F.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Spa
ABSTRACT:
The authors present the clinical cases of 5 patients, with
rupture of the aortic Valsalva's sinus aneurysm open to the right
chambers, diagnosed clinically, echocardiographically and
hemodynamically in the past eight months. Among them, four were
males, and one female. Three were treated surgically
successfully, one patient refused surgery and another had a
sudden death before surgery. The patients showed arteriovenous
blood flow shunt, three from the aorta to the right ventricle,
and two to the right atrium. One case was associated to an atrial
septal defect, and tricuspid insufficiency in another. The
authors added a sixth case: a woman, with rupture of the aortic
Valsalva's sinus open to the right ventricle, aortic
insufficiency and diaphragmatic subaortic stenosis. The authors
discuss the embryologic origin of the formation and rupture of
the Valsalva's sinus aneurysm as well as the factors that
contribute to it's rupture, the natural history of the illness,
it's classification, association with other heart disease as well
as diagnosis and treatment.
SOURCE: Arch Inst Cardiol Mex 1992 Jul-Aug;62(4):361-71
18
NLM CIT. ID: 93001877
TITLE: Anomalous origin of the right coronary artery from the pulmonary
artery in association with congenital aneurysm of the sinus of
Valsalva: angiographic diagnosis of a rare association.
AUTHOR: Sundar AS; Fox KA
ADDRESS:
Department of Cardiology, University of Wales College of
Medicine, Heath Park, Cardiff.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
A 37 year old man presenting with acute heart failure,
hypotension, and acute renal failure was diagnosed by cardiac
catheterisation and angiography to have the rare combination of
congenital aneurysm of the non-coronary sinus of Valsalva
rupturing into the right ventricle, and an anomalous origin of
the right coronary artery from the main pulmonary artery. The
diagnosis could not be confirmed by transthoracic
echocardiography in this patient. This combination of defects,
confirmed at cardiac surgery, has not been reported before, and
this case report highlights the importance of preoperative
definition of congenital defects associated with an aneurysm of
the sinus of Valsalva.
SOURCE: Br Heart J 1992 Sep;68(3):330-2
19
NLM CIT. ID: 93001234
TITLE: Ruptured congenital aneurysm of the sinus of Valsalva: surgical
technique and long-term follow-up.
AUTHOR: Pasic M; Turina M; Jenni R; Carrel T; von Segesser L
ADDRESS:
Clinic for Cardiovascular Surgery, University Hospital, Zurich,
Switzerland.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
Congenital ruptured aneurysm of the sinus of Valsalva is a rare
anomaly usually causing decrease of cardiac performance. Eight
patients with a ruptured congenital aneurysm of the sinus of
Valsalva were operated upon at the University Hospital Zurich
between 1970 and 1991. There were four female and four male
patients aged from 15 to 48 years (mean, 36 years). Three
patients were asymptomatic and five symptomatic. Associated
congenital cardiac defects were found in six patients. Surgical
techniques consisted of direct suture in seven patients and
closure with a Dacron patch in one. A secondary Dacron patch
closure was performed on the second postoperative day in a
patient with suture insufficiency after direct closure.
Associated operations were closure of ventricular septal defect
in two patients, aortic valve replacement in two, aortic valve
reconstruction in one and aortic valve commissurotomy in one
patient. There were no operative deaths. The mean follow-up was 9
years, range 7 months to 17 years. There were two late deaths due
to endocarditis and recurrent cerebral embolisation. An operation
for a ruptured aneurysm of the sinus of Valsalva has a low
operative risk, but patients remain prone to development of late
valvular complications.
SOURCE: Eur J Cardiothorac Surg 1992;6(10):542-4
20
NLM CIT. ID: 92312452
TITLE: Unruptured sinus of Valsalva aneurysm diagnosed by
transesophageal echocardiography.
AUTHOR: Rubin DC; Hawke MW; Plotnick GD; Salter DR
Carliner NH
ADDRESS:
Department of Medicine, University of Maryland Medical Center,
Baltimore 21201.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: Am Heart J 1992 Jul;124(1):225-7
21
NLM CIT. ID: 92136932
TITLE: Unruptured congenital aneurysm of the left sinus of Valsalva
presenting as acute right ventricular failure.
AUTHOR: D'Silva SA; Tendolkar AG; Kale PA; Lokhandwala YY
Dalvi BV
ADDRESS:
Department of Cardiology, King Edward VII Memorial Hospital,
Parel, Bombay, India.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
A patient with unruptured congenital aneurysm of the left
coronary sinus of Valsalva presented with acute right-sided heart
failure due to right ventricular outflow tract obstruction. The
mechanism for such an acute presentation may have been a sudden
increase in the size of the aneurysm. The surgical importance of
this lesion is the combined aortocameral approach which is seldom
required for correction of such aneurysms.
SOURCE: Chest 1992 Feb;101(2):578-9
22
NLM CIT. ID: 92109145
TITLE: Role of transesophageal echocardiography in sinus of Valsalva
aneurysm.
AUTHOR: McKenney PA; Wiegers SE; Shemin RJ
ADDRESS:
Evans Memorial Department of Clinical Research, Boston, MA.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: Am Heart J 1992 Jan;123(1):228-9
23
NLM CIT. ID: 92151256
TITLE: Aortic regurgitation and aneurysm of Sinus of Valsalva associated
with osteogenesis imperfecta.
AUTHOR: Ohteki H; Itoh T; Kohchi K; Koga N; Sakurai J
Ohtsubo S
ADDRESS:
Department of Cardiology, Koga Hospital, Japan.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
A case of osteogenesis imperfecta with aortic regurgitation is
described. The patient had a dilated aortic valve ring and an
aneurysm of the Sinus of Valsalva. The patient manifested severe
hemodynamic abnormalities and underwent aortic root
reconstruction using a valved conduit. The operative problems and
the pathological findings are discussed.
SOURCE: Thorac Cardiovasc Surg 1991 Oct;39(5):294-5
24
NLM CIT. ID: 92115951
TITLE: [A sinus of Valsalva aneurysm ruptured into the right atrium
secondary to aortic endocarditis. The usefulness of transthoracic
and transesophageal echocardiography]
AUTHOR: Asin Cardiel E; Hernandez A; Epeldegui A; Martinez J
Codina J; de Pablo C; Moya JL
ADDRESS:
Servicio de Cardiologia, Hospital Ramon y Cajal, Madrid.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Spa
ABSTRACT:
We present a case of a sinus of Valsalva aneurysm ruptured into
right atrium secondary to aortic endocarditis. Early surgical
procedure was indicated bases on transthoracic echocardiography.
This technique demonstrated a abscess image enlarged into the
right atrium and color Doppler showed a turbulent flow from
aortic valve to right atrium. Cardiac surgery was performed with
transesophageal echocardiography monitoring. This technique
allowed anatomical and functional aortic valve evaluation and the
abscess location and extension. This case shows the value of
transthoracic and transesophageal color Doppler echocardiography
in the diagnosis and management of patients with complications
secondary to infective endocarditis.
SOURCE: Rev Esp Cardiol 1991 Oct;44(8):560-2
25
NLM CIT. ID: 92114284
TITLE: Infective endocarditis causing acute myocardial infarction by
compression of the proximal left coronary artery due to a mycotic
aneurysm of the sinus of Valsalva.
AUTHOR: Koike S; Morimoto M; Furuta S; Sasaki Y; Furihata Y
Furihata A; Takayama S
ADDRESS:
Second Department of Internal Medicine, Shinshu University School
of Medicine, Matsumoto, Japan.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
An extremely unusual case of myocardial infarction associated
with infective endocarditis (IE) is described. A 38-year old male
with a high fever was transferred to our hospital for further
treatment of IE. Two-dimensional echocardiogram showed a large
mycotic aneurysm of the sinus of Valsalva in contact with
neighbouring structures. The patient had a rapid recovery within
several days after administration of antibiotic agents. However,
he then developed abrupt onset of severe precordial pain. From
the echocardiogram images and biochemical evaluation he was
diagnosed as having an acute subendocardial infarction. Serial
echocardiograms revealed expansion of the aneurysm, extending
from the myocardium of the anterolateral free wall to the lower
margin of the proximal left coronary artery. The cause of acute
myocardial infarction was thought to be incomplete occlusion of
the coronary artery through compression by the enlarging mycotic
aneurysm of the sinus of Valsalva. Urgent surgery confirmed
compression of the left coronary artery by the large mycotic
aneurysm as the cause of acute myocardial infarction.
SOURCE: Jpn Circ J 1991 Dec;55(12):1228-32
26
NLM CIT. ID: 92100945
TITLE: [The 2-dimensional and Doppler color echocardiographic study of a
congenital aneurysm of the sinus of Valsalva with a fistula of
the right atrium in an adult]
AUTHOR: Madariaga JA; Barrenetxea JI; Castellanos E
Alcibar J; Salcedo A; Palomar S; Serrano A; Lekuona I
ADDRESS:
Seccion de Cardiologia, Hospital de Galdakao.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Spa
ABSTRACT:
This report describe a 69-year old woman with a congenital
aneurysm of the non-coronary sinus of Valsalva ruptured in the
right atrium, causing severe hemodynamic derangement of the right
ventricle. The site of the communication between the aneurysm and
the receiving chamber was accurately diagnosed by two-dimensional
color flow Doppler imaging which provided more valuable
preoperative information than conventional aortography.
SOURCE: Rev Esp Cardiol 1991 Aug-Sep;44(7):488-90
27
NLM CIT. ID: 92075289
TITLE: Multifaceted echocardiographic approach to the diagnosis of a
ruptured sinus of Valsalva aneurysm.
AUTHOR: Katz ES; Kronzon I; Feit F; Attubato M
Rosenzweig BP; Cziner DG
ADDRESS:
Department of Medicine, New York University Medical Center.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: J Am Soc Echocardiogr 1991 Sep-Oct;4(5):494-8
28
NLM CIT. ID: 92075287
TITLE: Unruptured noncoronary sinus of Valsalva aneurysm: preoperative
characterization by transesophageal echocardiography.
AUTHOR: Blackshear JL; Schaff HV; Freeman WK; Lane GE
Safford RE
ADDRESS:
Section of Cardiovascular Diseases, Mayo Clinic, Jacksonville, FL
32224.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
We describe a patient with a large unruptured sinus of Valsalva
aneurysm that was discovered incidentally. Transesophageal
echocardiography was used to characterize the aneurysm
preoperatively, and was helpful intraoperatively in assessment of
the degree of native aortic valvular regurgitation after repair.
The use of transthoracic echocardiography, contrast
echocardiography, Doppler echocardiography, and transesophageal
echocardiography are discussed in this condition.
SOURCE: J Am Soc Echocardiogr 1991 Sep-Oct;4(5):485-90
29
NLM CIT. ID: 92060383
TITLE: Successful surgical repair of a ruptured aneurysm of the sinus of
Valsalva in early pregnancy.
AUTHOR: Pamulapati M; Thadani U; Stelzer P; Teague S
ADDRESS:
University of Oklahoma Health Sciences Center, Oklahoma City.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: Ann Intern Med 1991 Dec 1;115(11):880-2
30
NLM CIT. ID: 92058723
TITLE: Rupture of congenital sinus of Valsalva aneurysm in a newborn.
AUTHOR: Perry LW; Midgley FM; Galioto FM Jr; Martin GR
ADDRESS:
Department of Pediatric Cardiology, Children's National Medical
Center, Washington, D.C.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: Am J Cardiol 1991 Nov 1;68(11):1255-6
31
NLM CIT. ID: 92046887
TITLE: [A case of ruptured aneurysm of Valsalva sinus into right atrium
with peculiar findings on aortography]
AUTHOR: Watanabe M; et al; Takase S; Ono T; Sato Y
Midorikawa H; Satokawa H; Tanji M; Hagiwara K; Igari T; Iwaya F
ADDRESS:
Department of Cardiovascular Surgery, Fukushima Medical College.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Jpn
ABSTRACT:
A 24-year-old man with ruptured aneurysm of sinus of Valsalva
into the right atrium originating from the noncoronary sinus is
presented. On aortography through the ascending aorta the right
atrium in systolic phase and the right ventricle in diastolic
phase were opacified. We considered ruptured aneurysm like a
streamer (wind sock) entered into the right ventricle in
diastolic phase and into the right atrium in systolic phase.
Post-aneurysmectomy course was uneventful, and radiographic
examination revealed complete repair of the aneurysm.
SOURCE: Kyobu Geka 1991 Oct;44(11):933-6
32
NLM CIT. ID: 92030582
TITLE: Echocardiographic diagnosis of a ruptured aneurysm of the sinus
of Valsalva: operation without catheterisation in seven [letter;
comment]
AUTHOR: Sullivan ID; De Leval MR
COMMENTS:
Comment on: Br Heart J 1990 Sep;64(3):195-8
PUBLICATION TYPES:
COMMENT
LETTER
LANGUAGE: Eng
SOURCE: Br Heart J 1991 Sep;66(3):258
33
NLM CIT. ID: 91362854
TITLE: [Mycotic aneurysm of the sinus of Valsalva and complete
atrioventricular block complicating infectious endocarditis with
aortic regurgitation: a case report]
AUTHOR: Abe M; Hiwada K; Sumimoto T; Shigematsu Y
Fujiwara Y; Hamada M
ADDRESS:
Second Department of Internal Medicine, Ehime University School
of Medicine.
PUBLICATION TYPES:
JOURNAL ARTICLE
REVIEW
REVIEW OF REPORTED CASES
LANGUAGE: Jpn
ABSTRACT:
A patient with a mycotic aneurysm of the sinus of Valsalva and
heart block secondary to infectious endocarditis was described.
This 46-year-old man was admitted to our hospital on May 9, 1990,
because of fever and progressive general malaise after extraction
of a tooth. Physical examination on admission revealed blood
pressure of 98/62 mmHg, pulse rate 96 per min, temperature 37.7
degrees C and respiration 35 per min. Auscultation of the heart
revealed a grade 3/6 systolic murmur and a grade 2/6 diastolic
murmur at the third left intercostal space. Chest radiograph
showed mild cardiomegaly with moderate lung congestion.
Electrocardiography revealed the first grade atrioventricular
block. Echocardiography demonstrated vegetations on the aortic
valve, and perforation of the non-coronary sinus of Valsalva. The
prolapsed non-coronary sinus of Valsalva extended into the right
atrium. Doppler echocardiography revealed a severe aortic
regurgitant jet in the diastolic phase. We diagnosed the patient
as having aortic regurgitation with a mycotic aneurysm of the
non-coronary sinus of Valsalva due to infectious endocarditis.
His condition remained severely ill despite intensive medical
treatment. On May 14, 1990, aortic valve replacement and excision
of the mycotic aneurysm were performed. The commissural portions
of the aortic cusps were heavily thickened and calcified. The
mycotic aneurysm was very fragile. During manipulating the
mycotic aneurysm, the sinus accidentally perforated into the
right atrium. The cardioaortic fistula was closed with a goretex
patch. A demand pacemaker was implanted because of postoperative
complete atrioventricular block.(ABSTRACT TRUNCATED AT 250 WORDS)
SOURCE: J Cardiol Suppl 1991;25:187-94; discussion 195-6
34
NLM CIT. ID: 91336869
TITLE: [Congenital left sinus of Valsalva aneurysm]
AUTHOR: Simoes MV; Miziara HL; Barbato D; Figueira RR
ADDRESS:
Faculdade de Ciencias da Saude da UnB e Hospital de Base do
Distrito Federal, Ribeirao Preto, SP.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Por
ABSTRACT:
Two cases of left sinus of Valsalva congenital aneurysm (SVCA),
incidentally found are described. The authors call attention on
rarity of them, and present new concepts about their
morphogenesis and incidence. They also suggested a higher
incidence of asymptomatic and undiagnosed cases of SVCA should be
considered.
SOURCE: Arq Bras Cardiol 1991 Jan;56(1):57-9
35
NLM CIT. ID: 91331665
TITLE: Aneurysm of the left sinus of Valsalva causing severe mitral
regurgitation.
AUTHOR: Kumar RR; Goel PK; Radhakrishnan S
ADDRESS:
Department of Cardiology, Sanjay Gandhi Postgraduate Institute of
Medical Sciences, Lucknow, India.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
A 24-year-old male presented with exertional dyspnoea of one
year's duration. Echocardiography revealed an unruptured aneurysm
of the left sinus of Valsalva distorting the mitral valvar
apparatus and producing severe regurgitation in the absence of
myocardial ischemia or infarction. We propose an alternate
mechanism for the mitral regurgitation.
SOURCE: Int J Cardiol 1991 May;31(2):245-7
36
NLM CIT. ID: 91247940
TITLE: Sinus of Valsalva aneurysm eroding into the interventricular
septum.
AUTHOR: Raffa H; Kayali MT; Sorefan AA; Mosieri J
ADDRESS:
King Fahad Heart Center, Jeddah, Saudi Arabia.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
We report a case of erosion of an aneurysm of the right sinus of
Valsalva into the interventricular septum. The mode of
presentation, the preoperative evaluation, and the
echocardiographic and nuclear magnetic resonance imaging features
are presented, and the cardiac catheterization findings and
surgical management of this very rare cardiac pathology are
discussed.
SOURCE: Ann Thorac Surg 1991 Jun;51(6):996-8
37
NLM CIT. ID: 91216402
TITLE: [Aneurysm of the left sinus of Valsalva with fistula in the right
atrium. A case report]
AUTHOR: Arturi E; Alcini E; Gabrielli F
ADDRESS:
Insegnamento di Semeiotica, Cardiovascolare III, Universita
degli Studi di Roma, La Sapienza.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Ita
ABSTRACT:
A case of an aneurysm of the left sinus of Valsalva ruptured in
the right atrium is reported. This anomaly was diagnosed in a 30
year old woman who had a continuous systo-diastolic murmur and no
signs of cardiac failure. The diagnosis of aneurysm of the left
sinus of Valsalva was been determined using 2-D echocardiography,
Cardioangiography, in addition, enabled us to recognize the
fistula which connected the left sinus of Valsalva with the right
atrium. The rarity of this case is supported by two pieces of
data: A) aneurysms of the left sinus of Valsalva are the rarest
of the sinus of Valsalva aneurysms; B) generally the sinus of
Valsalva aneurysms rupture into the adjacent cardiac cavities,
while the anomalous fistolous conduits are quite uncommon. The
case reported confirms that from an aneurysm of the sinus of
Valsalva an atypical fistolous conduit may arise. This could be
detected by cardioangiography. In addition echocardiography, is
very important, at least as a preliminary examination, for the
diagnosis of the sinus of Valsalva aneurysms.
SOURCE: G Ital Cardiol 1990 Oct;20(10):976-80
38
NLM CIT. ID: 91090400
TITLE: [Non-ruptured calcified aneurysm of the Valsalva's sinus with
angina pectoris and aortic insufficiency. Surgical treatment]
AUTHOR: Varin J; Fouchard J; Chapsal J; Gorce M; Orion L
Forman J; Donzeau Gouge P
ADDRESS:
Service des Maladies cardiovasculaires, Hopital Cochin, Paris.
PUBLICATION TYPES:
JOURNAL ARTICLE
REVIEW
REVIEW OF REPORTED CASES
LANGUAGE: Fre
ABSTRACT:
We report a case of aneurysm of the straight frontal, and not
coronary, aortic sinus, non ruptured and calcified, responsible
for a refractory angina pectoris and a massive aortic failure in
a 71 year old woman. The surgical treatment consisted in the
exclusion of the aneurysm of the aortic sinus by a tubular
prosthesis in which only two thirds of the circumference have
been used, associated with the replacement of an aortic valve by
a bioprosthesis, without associated coronary by-pass.
SOURCE: Ann Cardiol Angeiol (Paris) 1990 Sep;39(7):411-5
39
NLM CIT. ID: 91063349
TITLE: Fatal intrapericardial rupture of sinus of Valsalva aneurysm.
AUTHOR: Brabham KR; Roberts WC
ADDRESS:
Pathology Branch, National Heart, Lung, and Blood Institute,
National Institutes of Health, Bethesda, MD 20892.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: Am Heart J 1990 Dec;120(6 Pt 1):1455-6
40
NLM CIT. ID: 91030319
TITLE: Rapid detection of a giant aneurysm of right sinus of Valsalva by
radioisotopic angiography.
AUTHOR: Ishimura J; Fukuchi M
ADDRESS:
Department of Nuclear Medicine, Hyogo College of Medicine,
Nishinomiya, Japan.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
REGISTRY NUMBERS:
0 (Technetium Tc 99m Aggregated Albumin)
65454-61-7 (Technetium Tc 99m Pentetate)
SOURCE: Clin Nucl Med 1990 Oct;15(10):732-4
41
NLM CIT. ID: 91001037
TITLE: Echocardiographic diagnosis of a ruptured aneurysm of the sinus
of Valsalva: operation without catheterisation in seven patients
[see comments]
AUTHOR: Sahasakul Y; Sakiyalak P; Chaithiraphan S
Panchavinnin P
COMMENTS:
Comment in: Br Heart J 1991 Sep;66(3):258
ADDRESS:
Department of Medicine, Siriraj Hospital, Mahidol University,
Bangkok, Thailand.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
A ruptured aneurysm of the sinus of Valsalva was diagnosed by
Doppler, colour, and cross sectional echocardiography in a
consecutive series of seven patients. The diagnoses were
confirmed at operation without cardiac catheterisation.
Examination by pulsed and continuous Doppler echocardiography
showed continuous turbulence in six patients with aneurysms
rupturing into the right ventricular outflow tract and in the
patient with rupture of an aneurysm of the non-coronary sinus
into the right atrium. Colour Doppler echocardiography showed
turbulent flow across the defects in all seven patients. A
ventricular septal defect with aortic regurgitation was detected
in one patient and an associated ventricular septal defect in
another. Doppler, colour, and cross sectional echocardiography
were useful non-invasive techniques for diagnosing a ruptured
aneurysm of the sinus of Valsalva without the need for cardiac
catheterisation.
SOURCE: Br Heart J 1990 Sep;64(3):195-8
42
NLM CIT. ID: 90348041
TITLE: [Ruptured congenital aneurysm of the sinus of valsalva in the
aged]
AUTHOR: Imamura M; Murakami T; Kubota H; Uchida H; Aoki H
ADDRESS:
Department of Thoracic and Cardiovascular Surgery, Asahikawa
Municipal Hospital.
PUBLICATION TYPES:
JOURNAL ARTICLE
REVIEW
REVIEW OF REPORTED CASES
LANGUAGE: Jpn
ABSTRACT:
Ruptured aneurysm of the sinus of Valsalva is a rare cardiac
lesion. A ruptured aneurysm of the sinus of Valsalva in the right
ventricle of a 64-year-old man was successfully repaired. The
patient was admitted to the hospital with high fever and chest
oppression. Diagnosis was made by two dimensional
echocardiography, cardiac catheterization, and cardiac
angiography. An aortotomy, main pulmonary arteriotomy, and right
ventriculotomy were performed. There was no VSD, and the aneurysm
originated from the right coronary sinus, rupturing into the
right ventricle inlet portion. The ruptured aneurysm of the sinus
of Valsalva was closed with a Dacron patch from inside the aorta.
He is doing well after surgery. There was no heart murmur. CTR
decreased and pulmonary blood flow fell to a normal value. As far
as we know, this patient is the second oldest patient in Japan
with surgical repair.
SOURCE: Kyobu Geka 1990 Jun;43(6):502-4
43
NLM CIT. ID: 90283175
TITLE: [Surgical treatment of congenital aneurysm of the sinus of
Valsalva]
AUTHOR: Guliamov DS; Sabirov BN; Makhmudov MM
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Rus
SOURCE: Grud Serdechnososudistaia Khir 1990;(2):74-5
44
NLM CIT. ID: 90167815
TITLE: Isolated unruptured sinus of Valsalva aneurysm producing right
ventricular outflow obstruction.
AUTHOR: Haraphongse M; Rossall RE; Jugdutt B; Ayudhya RK
ADDRESS:
Division of Cardiology, University of Alberta, Edmonton, Canada.
PUBLICATION TYPES:
JOURNAL ARTICLE
REVIEW
REVIEW OF REPORTED CASES
LANGUAGE: Eng
ABSTRACT:
An unusual case of right ventricular outflow obstruction and
right heart failure due to an isolated unruptured congenital
sinus of Valsalva aneurysm originating from the right coronary
sinus in a 75-year-old-man is described. The diagnosis was made
by two-dimensional echocardiography and cardiac catheterization.
Successful surgical resection of the aneurysm resulted in
dramatic symptomatic improvement.
SOURCE: Cathet Cardiovasc Diagn 1990 Feb;19(2):98-102
45
NLM CIT. ID: 90350674
TITLE: Echocardiographic diagnosis of unruptured aneurysm of the sinus
of Valsalva dissecting into the ventricular septum.
AUTHOR: Dev V; Shrivastava S
ADDRESS:
Department of Cardiology, CT Centre, All India Institute of
Medical Sciences, New Delhi.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: Am J Cardiol 1990 Aug 15;66(4):502-3
46
NLM CIT. ID: 90323043
TITLE: Rupture of a sinus of Valsalva aneurysm in a neonate.
AUTHOR: Breviere GM; Francart C; Vaksmann G
ADDRESS:
Department of Paediatric Cardiology, Hopital Cardiologique,
France.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
A neonate with severe congestive heart failure due to rupture of
the right sinus of Valsalva into the right ventricle is
described. The initial diagnosis was made with colour Doppler
echocardiography and confirmed by aortography. Patch closure of
the sinus of Valsalva defect was performed successfully on the
3rd day of life.
SOURCE: Eur J Pediatr 1990 Jun;149(9):603-4
47
NLM CIT. ID: 90323038
TITLE: Colour Doppler echocardiography in the diagnosis of ruptured
aneurysm of sinus of Valsalva.
AUTHOR: Goudevenos J; Cokkinos D; Reid P; Williams D
Ka-Ratasakis G; Chronopoulos DG; Kouvaras G
ADDRESS:
Cardiothoracic Unit, Freeman Hospital, Newcastle upon Tyne,
England.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
In this report we present three cases of ruptured aneurysm of
sinus of Valsalva which were detected by colour Doppler
echocardiography. The diagnosis was confirmed by cardiac
catheterization and at operation.
SOURCE: Eur Heart J 1990 Jul;11(7):666-9
48
NLM CIT. ID: 90307357
TITLE: Cross-sectional echocardiographic diagnosis of discrete subaortic
stenosis, ruptured congenital aneurysm of the right sinus of
Valsalva, unruptured aneurysm of non-coronary sinus and a
rudimentary left aortic leaflet.
AUTHOR: Mohan JC
ADDRESS:
Department of Cardiology, G.B. Pant Hospital, New Delhi, India.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
A 7-year-old asymptomatic male child was found to have a
shelf-like subaortic stenosis, congenital aneurysm of the right
sinus of Valsalva communicating with the right ventricular
outflow tract, an unruptured aneurysm of the non-coronary sinus
and a small left aortic sinus with a rudimentary valvar leaflet
causing moderate aortic regurgitation. The diagnosis was made by
cross-sectional and Doppler echocardiography and confirmed by
cineangiocardiography.
SOURCE: Int J Cardiol 1990 Jul;28(1):122-5
49
NLM CIT. ID: 90297011
TITLE: Left sinus of Valsalva aneurysm with rupture into the left
ventricular outflow tract: diagnosis by color-encoded Doppler
imaging.
AUTHOR: Rothbart RM; Chahine RA
ADDRESS:
Division of Cardiology, University of Miami School of Medicine,
Fla.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: Am Heart J 1990 Jul;120(1):224-7
50
NLM CIT. ID: 90256915
TITLE: Isolated aneurysm of the left sinus of Valsalva. Rupture into the
left atrium, left ventricle and dynamic coronary constriction.
AUTHOR: Glock Y; Puel P; Bounhourne JP; Fauvel JM; Puel J
Ferrarini JM
ADDRESS:
Department of Cardiovascular Surgery, Rangueil University
Hospital, Toulouse, France.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
Aneurysms of the left sinus of Valsalva are exceptional. They may
cause aortic regurgitation and may rupture into an extra or
intra-cardiac location. We report an aneurysm of the left Sinus
of Valsalva associated with 3 unusual complications: rupture into
the left atrium, infected rupture into the left ventricle
inducing aortic regurgitation and compression of the left
circumflex coronary artery. These caused cardiac failure,
coronary insufficiency and paroxysmal ventricular fibrillation. A
review of the literature on the LASV has been undertaken.
SOURCE: J Cardiovasc Surg (Torino) 1990 Mar-Apr;31(2):235-8
51
NLM CIT. ID: 90226922
TITLE: Thrombosed saccular aneurysm of a sinus of Valsalva: unusual
cause of a mediastinal mass.
AUTHOR: Reid PG; Hilton CJ; Goudevenos JA
ADDRESS:
Regional Cardiothoracic Unit, Freeman Hospital, Newcastle upon
Tyne.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
A 33 year old man presented with a short history of slight fever
and chest pain that was worse on inspiration. An
electrocardiogram was consistent with pericarditis. Chest
radiography, echocardiography, and computed tomography suggested
the presence of a mediastinal tumour. At operation the mass was
found to be attached to the right sinus of Valsalva and proved to
be a large saccular aneurysm full of laminated thrombus.
SOURCE: Br Heart J 1990 Mar;63(3):183-5
52
NLM CIT. ID: 90226773
TITLE: [Ruptured aneurysm of the sinus of Valsalva into the right
ventricle--apropos of a case]
AUTHOR: Torres S; Pimenta A; Gomes L; Martins L; Pereira LS
ADDRESS:
Servico de Cardiologia, Hospital Geral de Santo Antonio, Porto.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Por
ABSTRACT:
A 37 year old man was referred to our institution because of a
cardiac murmur, exertional dyspnea and fatigue, symptoms that
began since 18 years of age. He reported a cardiac murmur since
childhood, with no past history of rheumatic fever or infectious
endocarditis. On clinic examination there was a
systolic-diastolic murmur louder in the third and fourth left
intercostal space, just at the sternal left border. The 2 D-echo
revealed a small disruption in the aorto-septal continuity. Right
heart catheterisation was performed, showing an increased
pressure in the pulmonary artery and right ventricle; an increase
in the oxygen saturation on the right heart chambers, suggested
the presence of a left-to-right shunt, nevertheless the exact
location of the defect was not possible to recognise. The study
was complemented with Doppler color flow imaging that revealed a
turbulent flow through the defect, with blood flowing from the
aortic root into the right ventricular outflow tract. The
diagnosis of ruptured aneurysm of sinus of Valsalva was made,
being confirmed later by aortic angiography. A rare case is
reported in which an aneurysm of the right coronary sinus
ruptured into the right ventricle; we emphasize the important
contribution of the Doppler color flow imaging to the correct
diagnosis, technique rarely described in this type of
complication.
SOURCE: Rev Port Cardiol 1990 Jan;9(1):51-5
53
NLM CIT. ID: 90167807
TITLE: Ruptured aneurysm of the sinus of Valsalva [letter; comment]
AUTHOR: Chow WH; Cheung KL; Mok CK; Tai YT
COMMENTS:
Comment on: Cathet Cardiovasc Diagn 1989 Jul;17(3):172-4
PUBLICATION TYPES:
COMMENT
LETTER
LANGUAGE: Eng
SOURCE: Cathet Cardiovasc Diagn 1990 Feb;19(2):148
1
NLM CIT. ID: 87205428
TITLE: [Congenital aneurysm of the sinus of Valsalva with perforation
into the right ventricle]
AUTHOR: Herter M; Becher H; Harden T
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Ger
SOURCE: ROFO Fortschr Geb Rontgenstr Nuklearmed 1987 Apr;146(4):468-70
2
NLM CIT. ID: 85140065
TITLE: [Acquired aortopulmonary fistula, unusual development of
Valsalva's sinus aneurysm (letter)]
AUTHOR: Bazelly B; Vanetti A; Fischer M; Guiomard A
Hecquet P; Gaillard D; Robinault J
PUBLICATION TYPES:
LETTER
LANGUAGE: Fre
SOURCE: Presse Med 1985 Jan 19;14(2):103-4
3
NLM CIT. ID: 88273679
TITLE: Two-dimensional echocardiographic detection of a left sinus of
Valsalva aneurysm.
AUTHOR: Danchin N; Pernot C; Nizak J; Amrein D; Le Helloco A
ADDRESS:
Division of Cardiology, CHU Nancy-Brabois, France.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: JCU J Clin Ultrasound 1987 Sep;15(7):479-82
4
NLM CIT. ID: 87099118
TITLE: [Aneurysm of the sinistro-anterior sinus of Valsalva causing
coronary insufficiency. Apropos of a case]
AUTHOR: Le Helloco A; Pernot C; Nizak J; Amrein D; Danchin N
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Fre
ABSTRACT:
The aneurysm of the sinistro-anterior sinus of Valsalva (ASASV)
can very rarely be disclosed by symptoms of coronary
insufficiency. The authors report the case of a 73 old man
suffering from unstable angina pectoris, in whom the diagnosis of
ASASV was evoked by two-dimensional echocardiography and
confirmed by aortography. Coronary angiography revealed an
external compression of IVA by the ASASV and allowed to exclude
the presence of associated autonomous coronaropathy. The interest
of this observation lies in the fact that the preoperative
diagnosis was made after the two-dimensional echocardiography
allowing the evaluation of the importance and volume of the
ASASV. Aortography and coronary angiography are indispensable
procedures in the presence of chest pain suspect of coronary
insufficiency. These investigations will guide the surgical
treatment which should always associate a closure of the
aneurysmal neck, an aortic valvular replacement and a bypass of
the compressed coronary artery.
SOURCE: Arch Mal Coeur Vaiss 1986 Sep;79(10):1515-20
5
NLM CIT. ID: 86322286
TITLE: [Aneurysm of the sinus of Valsalva in children and young adults.
Apropos of 9 cases]
AUTHOR: Rey C; Dupuis C; Ducloux G; Marchand X; Francart C
Leroy O
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Fre
ABSTRACT:
Nine cases (7 boys and 2 girls) of aneurysm of the sinus of
Valsalva (SVA) diagnosed before 19 years of age are reported.
Group 1 comprised 5 children aged 5 to 14 years without rupture
of the aneurysm; 3 had an associated ventricular septal defect
(VSD). The diseased sinus was the right anterior sinus in 4 cases
and the posterior sinus in one case. The diagnosis was made by 2D
echocardiography, performed in 3 patients for follow-up of a VSD
and in 2 patients to investigate a systolic murmur. Group 2
comprised 4 patients under 19 years of age with SVA which
ruptured into in the right heart cavities. One of these patients
had a known right anterior SVA diagnosed at angiography performed
to investigate a VSD when the child was 4 years old. The rupture
occurred suddenly when the child was 14. These cases of SVA
involved the right anterior sinus with rupture into the right
ventricle (3 cases) and the posterior non-coronary sinus with
rupture into the right atrium (1 case). A rupture syndrome was
observed in 3 of the 4 patients with pulmonary oedema in 2 cases.
The authors emphasise the rarity of SVA diagnosed before rupture
and the low frequency of rupture before adulthood.
Echocardiography is certainly the best method for diagnosing the
condition and for following up these patients.
SOURCE: Arch Mal Coeur Vaiss 1986 May;79(5):668-75
6
NLM CIT. ID: 89227441
TITLE: [Ruptured aneurysm of the sinus of Valsalva. Presentation of 4
cases and review of the literature]
AUTHOR: Valencia Sanchez JS; Villalpando Gutierrez J
Navarro Robles J
ADDRESS:
Division de Cardiologia del Hospital de Cardiologia Luis
Mendez, del Centro Medico Nacional, Mexico, D.F.
PUBLICATION TYPES:
JOURNAL ARTICLE
REVIEW
REVIEW OF REPORTED CASES
LANGUAGE: Spa
ABSTRACT:
We studied four patients with ruptured aneurysms of the sinus of
Valsalva. All were men with a mean age of 33 years. The
presenting illness was insidious in three and of abrupt onset in
one. Physical examination showed a continuous murmur in all.
Chest X ray film showed moderate cardiomegaly. Electrocardiogram
disclosed left ventricular hypertrophy. Echocardiogram revealed
the site of the rupture which was corroborated by aortography.
Two aneurysms ruptured to the right ventricle and two to the
right atrium. All were corrected by surgery. All patients became
asymptomatic.
SOURCE: Arch Inst Cardiol Mex 1988 Nov-Dec;58(6):551-6
7
NLM CIT. ID: 89204833
TITLE: [Surgical correction of rupture of aneurysm of the sinus of
Valsalva]
AUTHOR: Pokrovskii AV; Sultanaliev TA; Gorianina NK
Kazanchian PO
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Rus
ABSTRACT:
Operations were performed on 48 patients with aneurysms of the
thoracic aorta, one of them had a rupture of aneurysm of the
noncoronary sinus followed by the formation of a fistula between
the aorta and the right atrium. The fistula was ligated by an
access through the right atrium with good nearest and long-term
results.
SOURCE: Vestn Khir 1988 Oct;141(10):13-6
8
NLM CIT. ID: 89163614
TITLE: [Intrapericardial rupture of an aneurysm of the right anterior
sinus of Valsalva: clinical case and review of the literature]
AUTHOR: Defraigne JO; Limet R; Demoulin JC; Dekoster G
ADDRESS:
Services de Chirurgie Cardio-Vasculaire, Centre Hospitalier
Universitaire, Sart Tilman, Liege.
PUBLICATION TYPES:
JOURNAL ARTICLE
REVIEW
REVIEW, TUTORIAL
LANGUAGE: Fre
ABSTRACT:
Intrapericardial ruptured aneurysm of the right anterior sinus of
Valsalva. A intrapericardial ruptured aneurysm of the right
anterior sinus of Valsalva is presented. An infectious origin was
suspected. The aneurysm was treated by plication, which allowed
to correct the preoperative insufficiency. Aneurysms of the
Valsalva sinus can remain asymptomatic. When they are small, a
conservative treatment is conceivable. Many complications can
occur: rupture (more often in right cavities), aortic
insufficiency, coronary insufficiency, cardiac failure, rhythm
disturbances. This complications necessitate a surgical
treatment. Aortic valvular replacement is indicated only when the
structure of the valve is altered.
SOURCE: Acta Chir Belg 1988 Nov-Dec;88(6):369-74
9
NLM CIT. ID: 88311900
TITLE: Accurate localization of ruptured sinus of Valsalva aneurysm by
real-time two-dimensional Doppler flow imaging.
AUTHOR: Chow LC; Nicod PH; Dembitsky WP; Dittrich HC
ADDRESS:
Division of Cardiology, University of California, San Diego
Medical Center 92103.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
The surgical approach to the repair of a ruptured sinus of
Valsalva aneurysm can depend on the cardiac chamber into which
rupture occurs. This report details the color flow Doppler images
in two patients who developed a right sinus of Valsalva aneurysm
to right atrial fistula owing to bacterial endocarditis. In both
cases, the color flow Doppler image was superior to contrast
aortography in identifying the chamber into which rupture had
occurred. The early experience with real-time two-dimensional
Doppler flow imaging suggests that this noninvasive technique is
valuable in the management of ruptured sinus of Valsalva
aneurysms.
SOURCE: Chest 1988 Sep;94(3):462-5
10
NLM CIT. ID: 88207159
TITLE: Group A beta-hemolytic streptococcal endocarditis precipitating
rupture of sinus of Valsalva aneurysm: evaluation by
two-dimensional, Doppler, and contrast echocardiography.
AUTHOR: Cooper MJ; Huey E; Silverman NH
ADDRESS:
Department of Pediatrics, University of California, San Francisco
94143.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: Am Heart J 1988 May;115(5):1132-4
11
NLM CIT. ID: 88100535
TITLE: A giant aneurysm of the non-coronary sinus of Valsalva.
AUTHOR: Okita Y; Kawamua K; Ishii K; Yamanaka K; Komeda M
Tahata T; Ueda Y; Kusuhara K; Miki S
ADDRESS:
Department of Cardiovascular Surgery, Tenri Hospital, Nara,
Japan.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
A 54-year-old woman complained of shortness of breath. She was
diagnosed to have an aneurysm of the non-coronary sinus and
underwent a radical operation. The aneurysm had a diameter of 10
cm. Superior vena cava, right atrium, and right ventricle were
severely compressed and deformed. The non-coronary sinus and
ascending aorta were reconstructed with a 24 mm Dacron graft
using the graft inclusion technique. The ostiums of both coronary
arteries were skirted. The postoperative course was uneventful.
SOURCE: Thorac Cardiovasc Surg 1987 Oct;35(5):316-7
12
NLM CIT. ID: 85245516
TITLE: Congenital aneurysm of the sinus of Valsalva. Surgical repair in
an infant.
AUTHOR: Bastos P; Gomes MR; Cunha D; Areias JC; Sousa A
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
We report the case of a 5-month-old infant with cardiac failure
and an unruptured aneurysm of the right coronary sinus of
Valsalva. Emphasis is put on the diagnostic value of the
echocardiogram. Cardiac failure was probably due to a combination
of aortic regurgitation and compression of the outflow tract of
the right ventricle. The surgical approach is discussed. The
defect was repaired through an aortotomy. The aneurysmal sac was
resected and an aortic valvuloplasty was performed. Twelve months
postoperatively the patient continues to be asymptomatic; an
aortic root angiogram shows only trivial aortic insufficiency.
SOURCE: Thorac Cardiovasc Surg 1985 Apr;33(2):125-7
13
NLM CIT. ID: 90088176
TITLE: [Congenital aneurysm of the sinus of Valsalva. II. Embryology]
AUTHOR: Miguel Junior A; Ruggeri GB; Curti HJ
PUBLICATION TYPES:
JOURNAL ARTICLE
REVIEW
REVIEW, TUTORIAL
LANGUAGE: Por
SOURCE: Arq Bras Cardiol 1989 Mar;52(3):159-62
14
NLM CIT. ID: 90088155
TITLE: [Congenital aneurysm of the sinus of Valsalva. I. Anatomy]
AUTHOR: Miguel Junior A; Ruggeri GB; Curti HJ
PUBLICATION TYPES:
JOURNAL ARTICLE
REVIEW
REVIEW, TUTORIAL
LANGUAGE: Por
SOURCE: Arq Bras Cardiol 1989 Feb;52(2):103-6
15
NLM CIT. ID: 89391225
TITLE: [Aortic insufficiency with Valsalva's sinus aneurysm and
Lobstein's disease (letter)]
AUTHOR: Guenot O; Guerot C; Laperche T; Cristofini P
Hagege A; Desnos M
PUBLICATION TYPES:
LETTER
REVIEW
REVIEW OF REPORTED CASES
LANGUAGE: Fre
SOURCE: Ann Med Interne (Paris) 1989;140(4):333-4
16
NLM CIT. ID: 90212229
TITLE: [Aneurysm of the Valsalva sinus. Echocardiographic diagnosis.
Apropos of a case of long post-rupture survival]
AUTHOR: Lourenco A; Pereira L; de Sousa M; Almeida J
Pereira A
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Por
ABSTRACT:
The authors present a case of aneurysm of the right sinus of
Valsalva with rupture and aorto-cardiac shunt to the exit chamber
of right ventricle. Based on clinical information, one can assume
that it could be a case which has been with few symptoms for a
period of seven years or more. The diagnosis was made possible
due to the images obtained by M mode and two dimensional
echocardiography, which allowed an unmistakable view of an
aneurysmatic dilatation and the site of the rupture which was
confirmed later by Doppler echocardiography with colour
codification and and anatomical assessment at surgery.
SOURCE: Rev Port Cardiol 1989 Jul-Aug;8(7-8):527-30
17
NLM CIT. ID: 90180815
TITLE: Doppler color flow mapping detection of ruptured sinus of
Valsalva aneurysm.
AUTHOR: Peters P; Gunther S; Juziuk E
ADDRESS:
Department of Medicine (Cardiology), Harper Hospital, Detroit, MI
48201.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
SOURCE: J Am Soc Echocardiogr 1989 May-Jun;2(3):195-7
18
NLM CIT. ID: 90165593
TITLE: [Clinico-pathologic manifestations of ruptured aneurysm of the
sinus of Valsalva]
AUTHOR: Roldan Conesa DF; Verdejo Paris J; Guerra Lopez A
ADDRESS:
Instituto Nacional de Cardiologia Ignacio Chavez, Tlalpan,
Mexico, D.F.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Spa
ABSTRACT:
The clinical files from the National Institute of Cardiology
"Ignacio Chavez" were reviewed, we found 26 corroborated cases
of ruptured aneurysms Valsalva's sinus. There is predominance of
the male sex in proportion 3:1 and the median age when the
diagnosis was made was 22 years. 77% of these cases were in
N.Y.H.A. clinical class I or II and the main symptom was dyspnoea
on exertion. On the physical examination a continuous murmur or
sistolo-diastolic murmur was heard over precordium in 92% of the
cases and a hyperkinetic circulatory regimen. Only in 23% of
these patients the diagnosis was suspected and the more common
confusion was with the V.S.D. associated with aortic
incompetence. On the E.K.G. we found data with volumetric
overload of the right heart in 15 cases. The hemodynamic study
confirmed the diagnosis only in 60%. The aortic valve was
substituted for associated incompetence in 12 cases and the
pathological study revealed fibromixoid degeneration in 9 cases
and only fibrosis in the remaining 3. The sinus of Valsalva more
affected was the right coronary and the chamber where the rupture
was more frequent was the right ventricle in 73% of the cases. We
conclude that the ruptured aneurysms of the Valsalva's sinus is
rather frequent among the congenital heart diseases and has
particular clinical data and special features in making a precise
diagnosis.
SOURCE: Arch Inst Cardiol Mex 1989 Nov-Dec;59(6):579-88
19
NLM CIT. ID: 90163303
TITLE: Sudden cardiac death caused by coronary ostial compression by an
aneurysm of the sinus of Valsalva.
AUTHOR: Henry RE; Barton EN; Daisley H
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
A 22-year-old man was asymptomatic until he died suddenly after
being startled. Post-mortem examination was normal except for
aneurysmal dilatation of the left Sinus of Valsalva, the upper
margin of which formed a flap-like ridge, partially occluding the
ostium of the left main coronary artery which arose immediately
above it. Further compression of this "slit-like" orifice by
aneurysmal distention was the proposed cause of myocardial
ischaemia and arrhythmic death.
SOURCE: West Indian Med J 1989 Dec;38(4):250-2
20
NLM CIT. ID: 90140600
TITLE: Surgical repair of ruptured aortic sinus of Valsalva aneurysm.
AUTHOR: Knudsen MA; Paulsen PK
ADDRESS:
Department of Thoracic and Cardiovascular Surgery, Arhus
University Hospital, Denmark.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
Surgical repair of ruptured aortic sinus of Valsalva aneurysm was
performed on six patients. The NYHA functional class was I in one
case, II in three and III in two cases. All aneurysms had
ruptured into the right atrium. Three originated from the right,
and three from the non-coronary aortic sinus of Valsalva. The
preoperative shunt was 55-200% (mean 118%) of the peripheral
cardiac output. At aneurysmal repair, closure of secundum-type
atrial septal defect was performed in one case and insertion of a
St Jude Medical aortic valve in another. There were no
perioperative deaths. Five patients were asymptomatic in the
follow-up period (5 months-17 years). One patient died of
cardiomyopathy 11 years postoperatively. The long-term results
after surgical repair of ruptured aortic sinus of Valsalva
aneurysm thus were good, and early operation is recommended in
order to avoid congestive heart failure.
SOURCE: Scand J Thorac Cardiovasc Surg 1989;23(3):225-7
21
NLM CIT. ID: 90132013
TITLE: [A case report of successful repair for ruptured aneurysm of
sinus of Valsalva (I VSD) with aortic regurgitation]
AUTHOR: Ogawa K; Hattori T; Kidokoro H; Hayase S; Yano Y
Koike A
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Jpn
ABSTRACT:
A nineteen-year-old female who had history of infectious
endocarditis underwent surgical repair for ruptured aneurysm of
sinus of Valsalva with aortic regurgitation. Through aortotomy
mild degree of prolapse of right coronary cusp and perforation of
left coronary cusp sized 6 mm in diameter were recognized and the
latter was thought to be the dominant lesion resulting in severe
aortic regurgitation. Following direct closure of ruptured
aneurysm and patch closure of ventricular septal defect,
perforated left coronary cusp was repaired with autologous
pericardium. Post operative course was uneventful and she is now
doing well.
SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1989 Nov;37(11):2422-8
22
NLM CIT. ID: 90103937
TITLE: [Syphilitic aneurysm communicating with an aortic sinus of
Valsalva. A case report]
AUTHOR: Medeiros Sobrinho JH; Arnoni AS; Rubayo EM; Silva MV
Pontes Junior SC; Santos MA; Fontes WF; Silva MA
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Por
ABSTRACT:
The authors present the case of a 27-year old woman with an
aneurysm, possibly originating from an ectopic coronary sprout
and communicating with the right anterior sinus of Valsalva.
Secondary syphilitic lesions were observed. By virtue of its
great size and localization, this aneurysm produced obstruction
of the outlet of the right ventricle and dislocation of the left
coronary artery. The authors conclude that this aneurysm was a
congenital anomaly because of its great volume, configuration,
the way it opened in the aortic right anterior sinus of Valsalva,
the normal aortic wall and valve, and normal sinuses of Valsalva,
observed at surgery. The follow-up was uneventful.
SOURCE: Arq Bras Cardiol 1989 Jun;52(6):341-4
23
NLM CIT. ID: 90080581
TITLE: [Rupture of congenital aneurysm of the sinus of Valsalva
(clinical aspects and diagnosis)]
AUTHOR: Podzolkov VP; Makhmudov MM; Dvinianinova NB
Guliamov DS; Sabirov BN
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Rus
SOURCE: Kardiologiia 1989 Sep;29(9):70-3
24
NLM CIT. ID: 90030389
TITLE: Sinus of Valsalva aneurysm presenting with complete heart block.
AUTHOR: Clark VL; Wendt DJ; Hawkins ET
ADDRESS:
Department of Medicine, Henry Ford Hospital, Detroit, MI 48202.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
An elderly woman presented with sudden unresponsiveness and
complete heart block and subsequently expired. Postmortem
examination revealed an aneurysm of the right sinus of Valsalva
impinging on the cardiac conducting tissue. Only a few cases
associated with complete heart block have been previously
reported.
SOURCE: Cathet Cardiovasc Diagn 1989 Sep;18(1):27-30
25
NLM CIT. ID: 90012884
TITLE: [A case of ruptured aneurysm of the sinus of Valsalva with
bacterial endocarditis]
AUTHOR: Ozaki T; Matsumoto A; Tobe M; Kajiwara H; Imoto K
Adachi R; Kondoh J
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Jpn
ABSTRACT:
A 21-year-old male with ruptured aneurysm of sinus of Valsalva
caused by bacterial endocarditis is presented. The patient
complained of palpitation and a attack of fever. Continuous
murmur was heard with a thrill at the third intercostal space of
the left sternal border. On plain chest x-ray film pulmonary
congestion and increase in pulmonary flow were observed. Cardiac
catheterization showed step up of oxygen contents at the level of
right ventricle and left to right shunt of 36.5%. Aortography
demonstrated the aneurysm of the sinus of Valsalva ruptured to
right ventricle. The operation was performed by right ventricular
approach. Aneurysmal sac was resected and its orifice was closed
with mattress sutures. Bacteriological examination at the time of
operation revealed Staphylococcus aureus. Postoperative course
was uneventful.
SOURCE: Kyobu Geka 1989 Sep;42(10):876-8
26
NLM CIT. ID: 89360786
TITLE: [Aneurysm of the left sinus of Valsalva producing obstruction of
the left main coronary artery and aortic regurgitation]
AUTHOR: Higashi S; Hachiya T; Imamura H; Kawada K; Mitake H
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Jpn
ABSTRACT:
A 50-year-old male was admitted with dyspnea on exertion and
palpitation. On physical examination, a grade 2/6 aortic
regurgitant murmur was heard at the left sternal border. A chest
roentogenogram showed an oval shadow on the left cardiac border.
Digital subtraction angiogram, aortogram and coronary arteriogram
revealed an unruptured-large aneurysm of the left sinus of
Valsalva, which compressed the left main coronary artery and
produced aortic regurgitation. Surgical correction consisted of
obliteration of the orifice of the aneursym with woven Dacron
graft patch, aortic valve replacement using SJM23A, and a
saphenous vein bypass from the ascending aorta to the left
anterior descending coronary artery. Postoperative studies showed
complete obliteration of the orifice of the aneurysm, a patent
aorto-coronary bypass graft and no perivalvular leakage. This
aneurysm was considered congenital in origin, because of no
inflammatory and infectious evidence, negative serologic test for
syphilis and no aneurysmal dilatation of the ascending aorta.
SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1989 Mar;37(3):561-6
27
NLM CIT. ID: 89383039
TITLE: [A case of a two-chambered right ventricle associated with
aneurysm of the sinus of Valsalva]
AUTHOR: Inoue K; Yao H; Kitai K; Suehiro S; Shimizu Y
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Jpn
ABSTRACT:
A 51-year-old male with a two-chambered right ventricle
associated with an aneurysm of sinus of Valsalva, who underwent
successful surgical repair without ventriculotomy, is reported.
Preoperative right ventriculogram revealed that the right
ventricle was divided by the anomalous muscle bundle, and the
aneurysm of sinus of Valsalva growing from the right coronary
sinus protruded just below the pulmonary valve. The right
ventricular pressure was 107/10 mmHg and the pressure gradient
between the right ventricle and the pulmonary artery was 88 mmHg.
Trans-pulmonary arterial resection of the aneurysm of Valsalva
sinus was performed and the anomalous muscle bundle was
successfully removed through the pulmonary arteriotomy and the
right atrial incision. Post-operative right ventricular pressure
dropped to 42 mmHg, and there was no stenosis in the right
ventricle.
SOURCE: Kyobu Geka 1989 May;42(5):391-4
28
NLM CIT. ID: 89383038
TITLE: [A case report of aneurysm of the sinus of Valsalva due to
infectious endocarditis with ASR]
AUTHOR: Midorikawa H; et al; Watanabe M; Tanji M; Hagiwara K
Ando M; Takano K; Abe T; Igari T; Iwaya F; Hoshino S
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Jpn
ABSTRACT:
A case (56 year-old, female) of the aneurysm of sinus of Valsalva
due to infectious endocarditis with aortic stenosis and
regurgitation was described. The patient was successfully
operated upon by patch closure of the orifice of the aneurysm and
aortic valve replacement with Medtronic Hall 23A. Post operative
course was uneventful and discharged from the hospital at 37 post
operative days in good condition.
SOURCE: Kyobu Geka 1989 May;42(5):388-90
29
NLM CIT. ID: 89358359
TITLE: A congenital aneurysm of the non-coronary sinus of Valsalva
extending into the wall of the left ventricle.
AUTHOR: Chalmers JA; Magee PG; Graham TR
ADDRESS:
Department of Cardiothoracic Surgery, London Hospital, U.K.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
We describe a congenital aneurysm of the non-coronary sinus of
Valsalva which extended into the posterior wall of the left
ventricle.
SOURCE: Int J Cardiol 1989 Sep;24(3):379-81
30
NLM CIT. ID: 89354512
TITLE: Ruptured aneurysm of the sinus of Valsalva with single coronary
artery [see comments]
AUTHOR: Goto Y; Yamada K; Moriyama K; Morioka S; Murakmi R
Yoshikane H; Matsuno Y
COMMENTS:
Comment in: Cathet Cardiovasc Diagn 1990 Feb;19(2):148
ADDRESS:
Fourth Department of Internal Medicine, Shimane Medical
University, Japan.
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
This paper will report the case of a patient with an aneurysm of
Valsalva's sinus accompanied by single coronary artery (the
presence of only a single ostium of the coronary arteries), who
survived for 14 years, under conservative treatment, after a
rupture of the aneurysm. In this patient the aneurysm of
Valsalva's sinus ruptured from the right coronary sinus into the
right ventricular outflow tract. The single coronary artery
originated from the left coronary sinus, and the right coronary
artery branched from the left main trunk and ran dorsally to the
aorta. No case of ruptured aneurysm of Valsalva's sinus
accompanied by a single coronary artery has been reported in the
literature. After 14 years of conservative treatment, the patient
was surgically treated by direct suture of the ruptured aneurysm
and by aortic valve replacement. The postoperative course was
uneventful.
SOURCE: Cathet Cardiovasc Diagn 1989 Jul;17(3):172-4
31
NLM CIT. ID: 89347404
TITLE: [Echocardiographic diagnosis of Valsalva's sinus aneurysm]
AUTHOR: Mitina IN; Bondarev IuI
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Rus
ABSTRACT:
Valsalva's sinus aneurysm is a congenital heart disease that may
occur both as isolated abnormality or combined with other
ailments. The present paper summarizes the results of the use in
20 patients of non-invasive research methods, namely ultrasound
cardiography and Doppler's cardiography, in the diagnosis of
Valsalva's sinus aneurysms and concomitant heart diseases.
Analysis of the findings has shown that the use of ultrasound
cardiography in conjunction with pulse Doppler's cardiography
permits demonstration with a high accuracy of the direct signs of
Valsalva's sinus aneurysm without use of invasive methods,
identification of the rupture of its wall and the pathological
diastolic blood flow to the cavity corresponding to the rupture.
In addition, the application of the above techniques makes it
possible to diagnose with a high degree of significance the
concomitant abnormalities such as the defects of the
interventricular and interatrial septa, aortal valve failure and,
in some cases, the signs of concomitant bacterial endocarditis.
SOURCE: Ter Arkh 1989;61(4):79-83
32
NLM CIT. ID: 89290867
TITLE: Unruptured aneurysm of sinus of Valsalva: report of 2 cases.
AUTHOR: Lokhandwala YY; Kale PA; Kulkarni H; Srinivas A
Kaneria V; Sathe S; Rajani R; Khanolkar UB
PUBLICATION TYPES:
JOURNAL ARTICLE
LANGUAGE: Eng
ABSTRACT:
2 cases of unruptured aneurysm of the sinus of Valsalva are
presented. Both the patients had involvement of the right sinus
of Valsalva. One of the patients had associated systemic lupus
erythematosus (SLE). Such an association has not been described
in the literature. Clinical, echocardiographic and the
angiographic features have been discussed and literature
reviewed.
SOURCE: Indian Heart J 1989 Jan-Feb;41(1):68-71
33
NLM CIT. ID: 89283449
TITLE: [A case of anomalous origin of right coronary artery from the
left sinus of Valsalva with ventricular aneurysm ventricular
tachycardia and paroxysmal A-V block]
AUTHOR: Nishimura N; Mori H; Akiyama K; Nishikado A
Yamamoto H;