Ruptured sinus of Valsalva aneurysm in adult age; percutaneous closure with occluder device. Report of three successful cases. Ruptura de aneurisma del seno. Ruptura espontánea de un aneurisma del seno de Valsalva a la aurícula derecha en una paciente con aneurisma del septum interatrial. Pedro López– Velarde. Los aneurismas del seno de Valsalva (ASV) son defectos raros que representan el % de todas las cardiopatías congénitas. Son más.

Author: Zolom Molkis
Country: Benin
Language: English (Spanish)
Genre: Medical
Published (Last): 17 October 2010
Pages: 406
PDF File Size: 3.57 Mb
ePub File Size: 15.24 Mb
ISBN: 119-1-27126-856-2
Downloads: 16686
Price: Free* [*Free Regsitration Required]
Uploader: Faugrel

Aneurysm of sinus of Valsalva with report of two cases. J Cardiovasc Surg ; 7: In a four chamber view with posterior angulation, an interatrial septal aneurysm Figure 2 with a 19 mm base and an 11 mm right excursion beyond the plane of the atrial septum was found.

After physical exertion he experienced sudden oppressive chest pain, progressive dyspnea and palpitations. The ECG can be nonspecific.

Ruptured aneurysm of the sinus of Valsalva in a patient with Behcet’s disease. Regarding complications, the most frequent occurrence is rupture. Clinically, there is a continuous murmur in the left parasternal area and the examination reveals signs of aortic valve insufficiency.

X-ray chest film showed grade I cardiomegaly, and pulmonary abeurisma hypertension. Echocardiogram showed ruptured right VSA of 10 mm into the right ventricle, with color mosaic and turbulence at this level. Infrequently, the rupture causes myocardial ischemia when the left VSA is involved, due to compression of the circumflex artery. Thorax, relpp.


Regarding the atrial septal aneurysm, 1,15 this is an infrequent finding in adult patients. J Cardiovasc Surg, 38pp. J Thorac Cardiovasc Surg ; The present case illustrates the rare coexistence of two congenital malformations, as are sinus of Valsalva aneurysm and aneurysm of the interatrial septum. However, that eventuality has not happened in none of our patients, after three year of follow-up.

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

There are not many cases like these reported in literature. Traumatic sinus of Valsalva fistula and aortic valve rupture. Traditionally the repair anejrisma surgical, untilwhen Cullen performed the first percutaneous closure using a Rashkind umbrella device. In general, the symptomatology starts after the aneurysm breaks into a low pressure cardiac chamber, as in our three cases.

They are more common in male and can be either acquired or congenital. Surgical technique and long-term follow-up. Arch Pathol Lab Med ; Si continua navegando, consideramos que acepta su uso. In addition, an associated atrial septal aneurysm was found.

There was a problem providing the content you requested

Aneurysms are generally silent for prolonged periods of time. Clinical evolution was satisfactory. Sinus of Valsalva; Atrial septal aneurysm; Spontaneous rupture; Association of two isolated malformations; Echocardiography; Aortography; Mexico. Aneurismas coronarios gigantes en lactantes con enfermedad The postoperative course was uneventful.


Male, 25 years old. Report of seven cases and review of literature. Br Heart Aneufisma, 17pp. Feldman D, Roman M. There are numerous complications that can originate from a Valsalva aneurysm, including obstruction of the right ventricular outflow tract, infectious endocarditis, and thrombus formation, with systemic or local embolic events.

A continuous murmur was auscultated in the precordial area.

They are more common in Asia and India, and affect more males than females in a 3: The first reports of ASV appeared in the 19 th century and Lillehei et al. Continuing navigation will be considered as acceptance of this use. Percutaneous closure with Amplatzer septal occluder, guided by three-dimensional transesophageal echocardiography, was carried out, uneventfully.

Without treatment, the natural evolution is a progressive dilatation of the affected tissue, leading in around one third of the patients to the rupture generally into a low pressure right heart chamber. Lillihei, inperformed the first successful surgical intervention. No association with patent foramen ovale was observed with agitated saline solution baseline and Valsalva maneuver.