Aneurysm Of Coronary Sinus Of Valsalva Research Articles

Contained Rupture of a Left Coronary Sinus of Valsalva Aneurysm: A Case Report

Contained Rupture of a Left Coronary Sinus of Valsalva Aneurysm: A Case Report

A Case of Giant Unruptured Left Coronary Sinus of Valsalva Aneurysm

A Case of Giant Unruptured Left Coronary Sinus of Valsalva Aneurysm

巨大未破裂左冠尖バルサルバ洞動脈瘤の1例

症例は40歳男性．胸痛で発症し，CT，心エコーで左冠尖の巨大バルサルバ洞動脈瘤が発見され当科入院となった．左冠動脈主幹部の軽度狭小化も認められた．重度大動脈閉鎖不全症を伴っており，破裂の危険性も考慮して準緊急手術を行った．手術は大動脈基部置換術を施行したが，人工心肺からの離脱困難であったため冠血流低下を疑い，冠動脈バイパス術を追加して血行動態の改善をみた．術後経過は良好であった．左冠尖に発生するバルサルバ洞動脈瘤は稀であるが，瘤拡大に伴う圧排による心虚血症状を伴うこともあり，早期の治療を要するものと思われた．

Reticent Uneventful Rupture of Right Coronary Sinus of Valsalva Aneurysm into Right Ventricle

Aneurysms of sinus of Valsalva are rare congenital or acquired cardiac anomalies. They most commonly involve the right or non-coronary sinuses. Herein we report a very rare case of a ruptured congenital right sinus of Valsalva aneurysm into the right ventricular outflow tract followed conservatively for at least 10 years without any events.

Severe Aortic Regurgitation due to Unruptured Right Coronary Sinus of Valsalva Aneurysm

Severe Aortic Regurgitation due to Unruptured Right Coronary Sinus of Valsalva Aneurysm

A Giant Unruptured Right Coronary Sinus of Valsalva Aneurysm

There have been few case reports on giant sinus of Valsalva aneurysm (SVA). We report a case of a giant unruptured right coronary SVA that was confused with a pericardial cyst by transthoracic echocardiography.

Right Coronary Sinus of Valsalva Aneurysm With Rupture Into the Right Ventricle

We report a case of right coronary sinus of Valsalva aneurysm (SVA) with rupture into the right ventricle in a 23-year-old man. The problem was successfully managed with surgical closure of both ruptured SVA and the ventricular defect with cardiopulmonary bypass through median sternotomy.

Percutaneous Closure of a Ruptured Right Coronary Sinus of Valsalva Aneurysm

Percutaneous Closure of a Ruptured Right Coronary Sinus of Valsalva Aneurysm

Adult aortic coarctation discovered incidentally after the rupture of sinus of Valsalva aneurysm: combined surgical and interventional approach

Combination of ruptured sinus of Valsalva aneurysm (SVA), and a coexisting asymptomatic adult aortic isthmic coarctation is extremely rare. The timing and sequence of surgical and/or interventional repair of these two pathologies are controversial. We present a case of a 37-year-old male who was admitted to our department because of severe acute congestive heart failure and signs of ruptured aneurysm of the SV into the right ventricle. Transthoracic and transoesophageal echocardiography confirmed the communication between an important right coronary SVA and right ventricle, bicuspid aortic valve, mild aortic regurgitation, and revealed severe aortic coarctation. Because of the severe dilation of right sinus of Valsalva a surgical repair of the ruptured aneurysm was performed. Aortic coarctation was treated four weeks later by a percutaneous stent-graft implantation. This case report supports the concept that hybrid approach is feasible in patients with ruptured SVA and aortic coarctation in adulthood.

E0606 Transcatheter closure of a gigantic right sinus of Valsalva aneurysm to right ventricular fistula: a case report

Ruptured aneurysms of the sinus of Valsalva with a gigantic fistulous tract are extremely rare. A single origin of the coronary arteries is a rare coronary anomaly. We describe the...

Newly Discovered Heart Murmur

A 37-year-old man was referred for evaluation of a heart murmur detected recently during a routine checkup. The patient had an unsuspicious medical history, without previous infection, trauma, or connective tissue disease. He was completely asymptomatic while resting or exercising. Physical examination revealed a continuous 2/6 systolic-diastolic precordial murmur but was otherwise unremarkable. Transthoracic echocardiography demonstrated a left-to-right shunt that originated from the aortic bulbus, with a slightly enlarged right atrium and ventricle. Transesophageal echocardiography confirmed a noncoronary sinus of Valsalva aneurysm with rupture into the right atrium (Figure, A). Doppler imaging studies showed a prominent jet into the right atrium (flow velocity >4.5 m/s) and a smaller jet into the right ventricle (Figure, B; online-only …

A multi-perforated man: Asymptomatic ruptured sinus of Valsalva aneurysm associated with an atrial and ventricular septal defect

We report the case of an exceptional association of a right coronary sinus of Valsalva aneurysm (SVA) ruptured into the right ventricle, a supracristal ventricular septal defect (VSD) and an atrial septal defect (ASD). Our patient was totally asymptomatic and the diagnosis was established by echocardiography. The patient underwent prompt surgery that consisted in closing the aneurysm and the VSD with a pericardium patch.

Ruptured sinus of Valsalva aneurysm in two patients with subarterial ventricular septal defect

Rupture of a sinus of Valsalva aneurysm (SVA) is a rare, but life-threatening, event and requires immediate recognition and intervention. We present two previously healthy and physically active patients who were 12 and 33 years of age when rupture of a right coronary SVA into the right ventricle occurred. A subarterial ventricular septal defect (VSD) was detectable in both patients. Cardiac surgery involved VSD closure as well as reconstruction of the aortic valve. Considering complications of subarterial VSD, such as aortic cusp prolapse, aortic insufficiency or SVA, we suggest close follow-up and surgical closure of the VSD in case of any aortic valve deformity.