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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The patient presented persistent postoperative atrioventricular block, which required a permanent pacemaker.
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One year ago to his admission he began to have progressive dyspnea and lower limbs edema. No hay muchos casos como estos en la literatura. Percutaneous closure with Amplatzer septal occluder, guided by three-dimensional transesophageal echocardiography, was carried out, uneventfully.
A 32 years-old woman without cardiovascular risk factors and no previous cardiovascular disease, began to have progressive dyspnea, palpitations and lower limbs edema, after chest trauma. Echocardiogram showed ruptured right VSA of 10 mm into the right ventricle, with color mosaic and aneurism at this level.
Clinically, there is a continuous murmur in the left parasternal area and the examination reveals signs of aortic aneurksma insufficiency. In our three patients, some degree of aortic valve insufficiency was documented. Cathet Cardiovasc Diagn,pp. Ann Thorac Surg ; VSA can be associated to trunco-conal defects like ventricular septal defects, aortic insufficiency, pulmonary stenosis or subaortic stenosis.
Rupture of aneurysm of aortic sinus of Valsalva into the right side of the heart. It may be clinically silent for many years but these defects frequently coexist with other cardiac malformations, causing, when rupture occurs, unexpected symptoms that are not explained by the original defects.
Aneurysm of the sinus of Valsalva: However, it has been found also in patients with normal atrial pressure, 15 suggesting a primary de. Traditionally the repair was surgical, untilwhen Cullen performed the first percutaneous closure using a Rashkind umbrella device.
The interventional procedure causes less pain, leaves no scars, and shorter hospital stays and recovery times. It is evident that remain the possibility of a new rupture in the abnormal tissue of the aortic root. Regarding the atrial septal aneurysm, 1,15 this is an infrequent finding in adult patients. Congenital sinus of Valsalva aneurysm: The percutaneous transcatheter approach has the advantage that avoids the complications of sternotomy and cardiopulmonary bypass.
Aneurisma del seno de Valsalva disecando hacia el septo interventricular en una paciente embarazada
Ruptured congenital sinus of Valsalva aneurysm. Aneurysm of the atrial septum as diagnosed by echocardiography: Aneurysm of the sinus of Valsalva ASV is a rare cardiac abnormality, occurring in 0. Echocardiographic manifestation of the right sinus of Valsalva aneurysm.
However, that eventuality has not happened in none of our patients, after three year of follow-up. Sinus of Valsalva; Atrial septal aneurysm; Spontaneous rupture; Association of two isolated malformations; Echocardiography; Aortography; Mexico.
Ann Thorac Surg, 46pp. Eventhough the first report of a Valsalva aneurysm diagnosed by echocardiography was in12 currently the gold standard for the diagnosis of these lesions continues to be cardiac catheterization with aortography. The pathology was confirmed by angiotomography.
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.
Surgical closure of the communication was performed under extracorporeal circulation. Unruptured aneurysm of sinus of Valsalva sneurisma the pulmonary artery. Those of the right sinus obstruct the outflow tract of the right ventricle and can produce pulmonary valve insufficiency or can obstruct the ostium of the right coronary artery. Development of new generation ultrasonography machines has made transthoracic and, especially, the transesophageal echocardiography a useful tool in the confirmation of the diagnosis.