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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There are numerous complications that can originate from a Valsalva aneurysm, including obstruction of the right ventricular deel tract, infectious endocarditis, and thrombus formation, with systemic or local embolic events.
Atrial septal aneurysm is believed to be a valealva of connective tissue, 17 which is manifested along time in adults. Echocardiographic manifestation of the right sinus of Valsalva aneurysm.
The percutaneous transcatheter approach has the advantage that avoids the complications of sternotomy and cardiopulmonary bypass.
Regarding the atrial septal aneurysm, 1,15 this is an infrequent finding in adult patients.
The electrocardiogram showed left ventricular enlargement Figure 2. However, Amplatzer devices for interventricular or interatrial septal defects have shown better results a cause of the increased stability of the devices and the size of the retention disks.
The pathological anatomy of deficiencies between the aortic root and the heart, including aortic sinus aneurysms. According to their relationship to the coronary arteries there are three sinuses of Valsalva at the root of the aorta: J Thorac Cardiovasc Surg ; For now, percutaneous intervention is a feasible and safe intervention for selected cases.
Aneurisma del seno de Valsalva disecando hacia el septo interventricular en una paciente embarazada
It is evident that remain the possibility of a new rupture in the abnormal tissue of the aortic root. The ECG can be nonspecific. The percutaneous technique is more relevant due to is used in the cases of lesions cause by a primary surgery, due to the increasing risk in vel. Abstract Aneurysms of the sinus of Valsalva SV and the atrial septum are a rare association.
The place of rupture aneurismx shown with color flow imaging, valsallva a unidirectional continuous mosaic jet from the aorta to the right heart chamber, Figure 1A, 1B. The patient presented persistent postoperative atrioventricular block, which required a permanent pacemaker. Male, 25 years old. This wide variety in initial clinical presentations can be due to the size of the shunt; little shunts are asymptomatic, and big aortocardiac fistulas cause a clinical presentation similar to an acute aortic regurgitation.
They may be congenital or acquired. Percutaneous closure with Amplatzer septal occluder, guided by three-dimensional transesophageal echocardiography, was carried out, uneventfully. Development of new generation ultrasonography machines has made transthoracic and, especially, the transesophageal echocardiography a useful tool in the confirmation of the diagnosis.
It was decided to perform transcatheter closure employing an Amplatzer occluder for interventricular septal defect. Int J Cardiol ; Am J Cardiol vxlsalva The pathology was confirmed by angiotomography.
Unruptured sinus of Valsalva aneurysm with right ventricular outflow tract obstruction associated with ventricular septal defect. A Report of 9 Cases. Echocardiogram showed ruptured right VSA of 10 mm into the right ventricle, with color mosaic and balsalva at this level.
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Ann Thorac Surg ; During the closure, transesophageal echocardiogram is a very useful assisting tool permitting the adequate placing of the closure device. Los tres pacientes tuvieron insuficiencia cardiaca y soplo continuo.
The interventional procedure causes less pain, leaves no scars, and shorter hospital stays and recovery times. Other associated abnormalities less frequently found are pulmonary stenosis, patent ductus arteriosus, atrial septal defect, subaortic stenosis, and Fallot’s Tetralogy.
Among the main complications of VSA are described aortic insufficiency, coronary artery compromise, diverse arrhythmias, rupture aheurisma endocarditis.
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. An unruptured aneurysm of sinus of Valsalva was diagnosed in childhood. J Thorac Cardiovasc Surg, 99pp. Aneurysm of the sinus of Valsalva: Lillihei, inperformed the first successful surgical intervention.
Congenital aneurysm of the sinus of Valsalva. Ruptured aneurysm of the sinus of Valsalva associated with an atrial septal aneurysm. Echocardiographic diagnosis of congenital sinus of Valsalva aneurysm with dissection of the interventricular septum. The patological anatomy of deficiences between the aortic root and the heart, including aortic sinus aneurysms.
The etiology of all three cases was congenital. Sinus of Valsalva; Atrial septal aneurysm; Spontaneous rupture; Association of two isolated malformations; Echocardiography; Aortography; Mexico. Singapore Med J ; Arch Mal Coeur, 79pp.