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.

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Nakajima, M Imura, T.

Twenty aneurisna hours later was discharged in good clinical condition. Echocardiographic diagnosis was confirmed by cardiac catheterization and angiotomography. A Report of 9 Cases. Institute Nacional de Cardiologia Ignacio Chavez. Congenital heart disease, Valsalva sinus aneurysms, Amplatzer occlude, three-dimensional transesophageal echocardiography.

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Also, the site towards VSA breaks depends on its location. Ischemia has been reported as a conditioning factor for ventricular fibrillation in some patients. This defect had all the features to be deemed an aneurysm, the cutoff criteria reported in an autopsy study by Silver and Dorsey 1 was used.

Sakakibara S, Konno S. Report of three successful cases. No association with patent foramen ovale was observed with agitated saline solution baseline and Valsalva maneuver. InOram described the first clinical description.

A congenital aneurysm is caused by separation or failed fusion of the aortic media layer with the fibrous annulus of the aortic valve. Valsalva sinus aneurysms VSA are thin-walled outpouchings due to destruction or weakness of the middle layer of the aorta at the origin of the sigmoid valves, with discontinuity between this layer and the aortic valve fibrous annulus.


Aneurysm of the sinus of Valsalva in children and young adults. Aortic valve replacement was not considered necessary.

Lillihei, inperformed the first successful surgical intervention. The percutaneous transcatheter approach has the advantage that avoids the complications of sternotomy and cardiopulmonary bypass.

Infrequently, the rupture causes myocardial ischemia when the left VSA is involved, due to compression of the circumflex artery. Aneurysm of sinus of Valsalva with report of two cases. They are more common in Asia and India, and affect more males than females in a 3: The etiology of all three cases was congenital.

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

A continuous murmur was auscultated in the precordial area. According to the VSA location, clinical outcomes vary. Abstract Aneurysms of the sinus of Valsalva SV and the atrial septum are a rare association.

It occurs in most cases between the third and fourth decades of life. Ruptured aneurysm of the sinus of Valsalva associated with an atrial aneuriama aneurysm.

An unruptured aneurysm of calsalva of Valsalva was diagnosed in childhood. Echocardiographic diagnosis of congenital sinus of Valsalva aneurysm with dissection of the interventricular septum. Rupture into the left atrium, left ventricle and dynamic coronary constriction. J Cardiovasc Surg, 38pp.

During the closure, transesophageal echocardiogram is a very useful assisting tool permitting the adequate placing of the closure device. As it aneuriisma estimated that survival after the moment of rupture is less than 1 year, therefore it is mandatory that all patients with ruptured aneurysm should be treated either by surgery or percutaneously.

The right atrium was open and valdalva aneurysm’s coat was seen, including the basal and medium portion of the interventricular septum. Regarding complications, the most frequent occurrence is rupture. Aneurismas coronarios gigantes en lactantes con enfermedad An otherwise year-old healthy male had in his medical records the antecedent of an “innocent heart murmur” in his childhood.


X-ray chest film showed ssno I cardiomegaly, and pulmonary venocapillary hypertension. Later coils and other devices were used as occluders. However, that eventuality has not happened in none of our patients, after three year of follow-up.

Male, 25 years old. Clinical evolution was satisfactory. It appears to be more common in Asia. Echocardiographic manifestation of the right sinus of Valsalva aneurysm. Ruptured congenital sinus of Valsalva aneurysm.

The epithelization of the implanted device can render more resistant the surrounding tissue. Eur J Cardiothorac Surg, 6pp. Surgical repair and long-term results in ruptured sinus of Valsalva aneurysm. Acquired aneurysm of sinus of Valsalva can develop as the result of traumatic injury, 2 endocarditis, 3 syphilis, 4 Behcet’s disease 5 or Marfan’s syndrome.

We report a case of ruptured aneurysm of the sinus of Valsalva in a year-old boy diagnosed with senl septal defect in the neonatal period with an uneventful course. Angiotomography confirmed the lesion Figure 4. A ten year rev’ew of ruptured sinus of Valsalva: Development of new generation ultrasonography machines senk made transthoracic and, especially, the transesophageal echocardiography a useful tool in the confirmation of the diagnosis.

Eur J Cardiothorac Surg, 10pp.

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