Abstract
Relatamos o caso de um homem de 36 anos, portador de aneurisma do seio de Valsalva esquerdo que englobou a parede anterior do ventrículo direito. Apresentava, também, importante insuficiência da valva aórtica. O diagnóstico foi realizado por meio do ecocardiograma transtorácico e cateterismo cardíaco. O paciente foi submetido a tratamento cirúrgico que consistiu em fechamento do orifício aneurismático com placa de pericárdio bovino. Procedida a reconstrução plástica da valva aórtica, conforme a técnica de Trusler
Highlights
Valsalva sinus Aneurysm (VSA) is a rare disease which is frequently congenital or forms as a consequence of endocarditis or trauma [1]
In left VSA, these complications occur to the right ventricle or atrium, the left atrium or to the pericardium and can lead to heart tamponade [3]
VSA is a rare disease most frequently seen in Oriental individuals
Summary
Valsalva sinus Aneurysm (VSA) is a rare disease which is frequently congenital or forms as a consequence of endocarditis or trauma [1]. In left VSA, these complications occur to the right ventricle or atrium, the left atrium or to the pericardium and can lead to heart tamponade [3] It is frequently associated with a defect of the interventricular septum or prolapse of the aortic valve [4]. The aortic wall was very thick and there was a large left VSA near to the right coronary sinus with an internal diameter of 2 cm (Figure 2). This aneurysm penetrated the anterior wall and outflow tract to the right ventricle forming a large structure. The postoperative period was eventless with two days in the intensive care unit and hospital release on the 10th postoperative day
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