scholarly journals Outcomes of Ruptured Sinus of Valsalva Aneurysm -A 20-year experience

2021 ◽  
Author(s):  
Harshavardhan Niraghatam ◽  
Dipika Naraimathi ◽  
Utkarsh Sanghavi ◽  
Aditya N. Doddamane ◽  
Channabasavaraj Hiremath ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Elective Surgery ◽  
Aortic Insufficiency ◽  
Sinus Of Valsalva ◽  
Ruptured Aneurysms ◽  
Aortic Media ◽  
Aortic Incompetence ◽  
The Right

Background: Ruptured aneurysms of sinus of Valsalva are defects of the aortic media, which are uncommon yet present concomitantly with either ventricular septal defect, aortic insufficiency or both. Here, we analyse retrospectively outcomes of patients operated on in the last two decades. Patients and Methods: 151 cases of ruptured aneurysms of sinuses of Valsalva were treated here between January 2000 and December 2020. The majority (96%) arose from the right coronary sinus. The right ventricular outflow was the most common site of rupture (56.2%). Ventricular septal defect was associated in 24 patients (16%) all of whom had ruptured right sinus, of which 8 (33%) were of subpulmonic subtype. Aortic incompetence was found in 45 patients (43.3%). Elective surgery was offered to 78 patients (51.6%), while the rest had defects closed by interventional devices. Surgical conversion for device embolization occurred in 12 patients (7.94 %). The defect was closed through the aortic root in 13 patients (14.4% of 90) and employing the bicameral technique (root and ruptured chamber) in the remaining 87 patients. 18 patients (20%) underwent aortic valve repair while 5 (5.5%) underwent aortic valve replacement. Results: We had no hospital deaths, however 4 operated patients (2.6%) had comorbidities. Follow‐up ranged from 1 to 20 years (mean 13 ± 5). There were 3 deaths in this period, and among the majority, quality of life was uneventful. Conclusion: Surgical correction for ruptured aneurysms of Valsalva provides prudent results and must be the preferred modality of treatment in acute and chronic presentation.

Assessment of ventricular septal defect with aortic valvar prolapse by means of echocardiography and angiography

1994 ◽  
Vol 4 (1) ◽  
pp. 44-50 ◽  
Author(s):  
Jou-Kou Wang ◽  
Hung-Chi Lue ◽  
Mei-Hwan Wu ◽  
Ming-Lon Young ◽  
Ing-Sh Chiu ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Sinus Of Valsalva ◽  
Ventricular Septal Defects ◽  
Septal Defects ◽  
Mean Size ◽  
The Mean ◽  
The Right

SummaryA total of 80 patients, diagnosed by echocardiography as having ventricular septal defect with aortic valvar prolapse, underwent cardiac catheterization and surgery. Echocardiographic and angiographic results were compared with surgical findings. The ventricular septal defects as observed during surgery were found to be doubly committed and subarterial in 49 (61%), muscular outlet in 10 (13%), and perimembranous in 21(26%). The location had been erroneously categorized by echocardiography and angiography in 12 (15%) and in 15 (19%) patients, respectively. Prolapse of the right coronary leaflet of the aortic valve, as documented by echocardiography, was confirmed by angiography in all but two cases. Prolapse of the noncoronary leaflet was detected by both imaging modalities in three patients. Prolapse of the right coronary and noncoronary leaflets was observed at surgery in 49 and three patients, respectively. The mean size of the ventricular septal defect, when measured by echocardiography, was significantly smaller than that found following surgical measurements (3.3±1.3 vs 8.4±3.8 mm, p<0.001). Our study showed that the ventricular septal defect was erroneously classified in the presence of prolapse of the aortic valve in 15% and 19% of our cases by echocardiography and angiography, respectively. The herniated sinus of Valsalva forming the “roof” of the ventricular septal defect probably redirected the jet across the defect to cause the errors in interpretation. Echocardiography, nevertheless, is as reliable as angiography in our hands in the follow-up of patients with ventricular septal defect opening to the outlet of the right ventricle.

Ruptured aneurysm of the aortic sinus of Valsalva—difficulties in establishing the diagnosis

1995 ◽  
Vol 5 (1) ◽  
pp. 75-77 ◽  
Author(s):  
Diana R. Holdright ◽  
Stephen Brecker ◽  
Mary Sheppard
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Transcatheter Closure ◽  
Fatal Outcome ◽  
Clinical Findings ◽  
Sinus Of Valsalva ◽  
Aortic Sinus ◽  
Cardiac Chamber ◽  
Acute Rupture ◽  
The Right

AbstractAneurysms of the aortic sinus of Valsalva are rare and generally do not produce symptoms unless the aneurysm ruptures. When rupture occurs, the clinical findings depend to an extent on the site of the aneurysm and the cardiac chamber into which the aneurysm ruptures. We report a case of acute rupture of an aneurysm of the right aortic sinus, which was misdiagnosed as a ventricular septal defect. The clinical condition of the patient deteriorated rapidly, and transcatheter closure of the defect with an umbrella was associated with a fatal outcome.

The chance finding of an aneurysm of the right sinus of Valsalva in an 11-year-old child with a ventricular septal defect and a pericardial effusion

2011 ◽  
Vol 151 (3) ◽  
pp. e77-e79 ◽  
Author(s):  
Giuseppe Dattilo ◽  
Domenico Tulino ◽  
Viviana Tulino ◽  
Annalisa Lamari ◽  
Filippo Marte ◽  
...  
Keyword(s):  
Pericardial Effusion ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Sinus Of Valsalva ◽  
The Right

Angiocardiographic Diagnosis of Aortic Insufficiency in Cases of Ventricular Septal Defect Associated with Partial Prolapse of the Aortic Valve

Cardiology ◽  
1973 ◽  
Vol 58 (5) ◽  
pp. 257-272 ◽  
Author(s):  
Renate Plass ◽  
Wolfgang M&uuml;nster ◽  
Semjon Ivanov ◽  
Ursula St&uuml;rmer
Keyword(s):  
Aortic Valve ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Aortic Insufficiency
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