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Said SAM, Mariani MA. Acquired aortocameral fistula occurring late after infective endocarditis: An emblematic case and review of 38 reported cases. World J Cardiol 2016; 8:488-495. [PMID: 27621777 PMCID: PMC4997530 DOI: 10.4330/wjc.v8.i8.488] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2016] [Revised: 04/23/2016] [Accepted: 06/29/2016] [Indexed: 02/06/2023] Open
Abstract
AIM To delineate the features and current therapeutic option of congenital and acquired aortocameral fistulas (ACF) secondary to iatrogenic or infectious disorders.
METHODS From a PubMed search using the term "aortocameral fistula", 30 suitable papers for the current review were retrieved. Reviews, case series and case reports published in English were considered. Abstracts and reports from scientific meetings were not included. A total of 38 reviewed subjects were collected and analyzed. In addition, another case - an adult male who presented with ACF between commissures of the right and non-coronary sinuses and right atrium as a late complication of Staphylococcus aureus infective endocarditis of the AV - is added, the world literature is briefly reviewed.
RESULTS A total of thirty-eight subjects producing 39 fistulas were reviewed, analyzed and stratified into either congenital (47%) or acquired (53%) according to their etiology. Of all subjects, 11% were asymptomatic and 89% were symptomatic with dyspnea (21 ×) as the most common presentation. Diagnosis was established by a multidiagnostic approach in 23 (60%), single method in 14 (37%) (echocardiography in 12 and catheterization in 2), and at autopsy in 2 (3%) of the subjects. Treatment options included percutaneous transcatheter closure in 12 (30%) with the deployment of the Amplatzer duct or septal occluder and Gianturco coil and surgical correction in 24 (63%).
CONCLUSION Acquired ACF is an infrequent entity which may occur late after an episode of endocarditis of the native AV. The management of ACF is generally by surgical correction but non-surgical device intervention has recently been introduced as a safe alternative.
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Olsen J. Aneurysm of the aortic sinus of Valsalva. A case of rupture and myocardial infarction. ACTA PATHOLOGICA ET MICROBIOLOGICA SCANDINAVICA 2009; 76:12-8. [PMID: 5350746 DOI: 10.1111/j.1699-0463.1969.tb03227.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Spencer FC, Blake HA, Bahnson HT. Surgical Repair of Ruptured Aneurysm of Sinus of Valsalva in Two Patients. Ann Surg 2007; 152:963-8. [PMID: 17859640 PMCID: PMC1613859 DOI: 10.1097/00000658-196012000-00006] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Gómez López L, Martín Maté M, Gallardo Hernández F, Navas Heredia C, González Armengod C, Centeno Malfaz F. Rotura de aneurisma del seno de Valsalva en un niño con comunicación interventricular. An Pediatr (Barc) 2002. [DOI: 10.1016/s1695-4033(02)77766-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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BESTERMAN EM, GOLDBERG MJ, SELLORS TH. Surgical repair of ruptured sinus of Valsalva. BRITISH MEDICAL JOURNAL 1998; 2:410-6. [PMID: 13967791 PMCID: PMC1872559 DOI: 10.1136/bmj.2.5354.410] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Choudhary SK, Bhan A, Sharma R, Airan B, Kumar AS, Venugopal P. Sinus of Valsalva aneurysms: 20 years' experience. J Card Surg 1997; 12:300-8. [PMID: 9635267 DOI: 10.1111/j.1540-8191.1997.tb00143.x] [Citation(s) in RCA: 61] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND Aneurysms of sinus of Valsalva are rare. Here, we analyze retrospectively patients operated on at our center during the last 20 years. PATIENTS AND METHODS One hundred four cases of congential aneurysm of sinus of Valsalva were operated upon between January 1977 and April 1996. Only 12 aneurysms were unruptured. The majority (76.9%) arose from the right coronary sinus. The right ventricle was the most common chamber of rupture (58.6%). Ventricular septal defect was associated in 46 patients (44.2%), of which 28 (60.9%) were supracristal. Ventricular septal defect was more common in aneurysms arising from the right coronary sinus (91.3%). Aortic incompetence was found in 45 patients (43.3%). The defect was closed through the aortic root alone in 24 patients (23.1%) and through both the aortic root and the chamber of rupture in the remaining 80 patients. Six patients underwent aortic valve repair, and 21 an aortic valve replacement. RESULTS There were two hospital deaths (1.92%). Morbidities were few. Follow-up ranged from 1 to 20 years (mean 8.2 +/- 1.1). There was one late noncardiac death, and in the majority, the long-term follow-up was uneventful. CONCLUSION Surgery for aneurysm of sinus of Valsalva yields gratifying results, and it should be undertaken as soon as the condition is diagnosed.
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Affiliation(s)
- S K Choudhary
- Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India
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DULAKE M, ASHFIELD R. DISSECTING ANEURYSM OF THE AORTA WITH RUPTURE INTO THE RIGHT ATRIUM. BRITISH HEART JOURNAL 1996; 26:862-4. [PMID: 14222557 PMCID: PMC1018140 DOI: 10.1136/hrt.26.6.862] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Affiliation(s)
- D Amar
- Department of Anesthesiology and Critical Care Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY 10021
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Goldberg N, Zisbrod Z, Kipperman R, Krasnow N, Gordon D, Shapir Y, Stein R. Congenital aneurysm of the left coronary sinus and left main coronary artery with fistulous communication to the right atrium in pregnancy. J Am Soc Echocardiogr 1990; 3:125-30. [PMID: 2334541 DOI: 10.1016/s0894-7317(14)80505-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
We describe a unique case of a left coronary arteriovenous fistula arising from a left sinus of Valsalva aneurysm in a pregnant woman. The relevant diagnostic contributions of two-dimensional echocardiography, color flow Doppler, magnetic resonance imaging, and angiography are discussed. The hemodynamic manifestations of this anomaly in pregnancy and the eventual surgical correction are reviewed.
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Affiliation(s)
- N Goldberg
- State University of New York Health Sciences Center, Brooklyn
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15
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Knudsen MA, Paulsen PK. Surgical repair of ruptured aortic sinus of Valsalva aneurysm. SCANDINAVIAN JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY 1989; 23:225-7. [PMID: 2617240 DOI: 10.3109/14017438909105999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Surgical repair of ruptured aortic sinus of Valsalva aneurysm was performed on six patients. The NYHA functional class was I in one case, II in three and III in two cases. All aneurysms had ruptured into the right atrium. Three originated from the right, and three from the non-coronary aortic sinus of Valsalva. The preoperative shunt was 55-200% (mean 118%) of the peripheral cardiac output. At aneurysmal repair, closure of secundum-type atrial septal defect was performed in one case and insertion of a St Jude Medical aortic valve in another. There were no perioperative deaths. Five patients were asymptomatic in the follow-up period (5 months-17 years). One patient died of cardiomyopathy 11 years postoperatively. The long-term results after surgical repair of ruptured aortic sinus of Valsalva aneurysm thus were good, and early operation is recommended in order to avoid congestive heart failure.
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Affiliation(s)
- M A Knudsen
- Department of Thoracic and Cardiovascular Surgery, Arhus University Hospital, Denmark
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16
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Barragry TP, Ring WS, Moller JH, Lillehei CW. 15- to 30-year follow-up of patients undergoing repair of ruptured congenital aneurysms of the sinus of Valsalva. Ann Thorac Surg 1988; 46:515-9. [PMID: 3190324 DOI: 10.1016/s0003-4975(10)64688-7] [Citation(s) in RCA: 38] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Rupture of a congenital aneurysm of the sinus of Valsalva is a rare congenital cardiac malformation. Between 1956 and 1971, we operated on 14 patients aged 9 to 36 years (median, 20 years) for repair of a ruptured aneurysm of the sinus of Valsalva, and have followed each patient to the present. Two operative and 4 late deaths occurred, 3 following a second cardiac operation and the other from dysrhythmia. Late complications have included development of complete heart block in 2 patients (necessitating permanent pacemaker insertion 11 and 24 years after initial repair), progression of aortic regurgitation in 2 (necessitating valve replacement 9 and 13 years after initial repair), and endocarditis in 1 patient 20 years after repair. Four of the 8 remaining long-term survivors (followed for 15 to 30 years [mean, 23.6 years]) are in New York Heart Association (NYHA) Class I, and the other 4 are in NYHA Class II. Three of the 5 patients with suture closure (no pledgets or adjacent ventricular septal defect repair) of the ruptured aneurysm of the sinus of Valsalva sustained recurrent rupture and required repeat closure. Whether the lack of prosthetic material to bolster the repair or inadequate resection of redundant aneurysmal fibrous tissue was responsible for these recurrences cannot be stated. Operative management of patients with ruptured congenital aneurysms of the sinus of Valsalva is discussed.
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Affiliation(s)
- T P Barragry
- Department of Surgery, University of Minnesota, Minneapolis
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18
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Abstract
A case of rupture of a sinus of Valsalva aneurysm in a middle-aged woman with an unusual assortment of associated conotruncal and other cardiac anomalies is reported. The anomalies included bicuspid aortic valve, aortic sinus aneurysm (ruptured), quadricuspid pulmonic valve, membranous coarctation of the aorta, subclavian and common carotid arteries arising directly from aorta, and atrial septal defect. Excluding the atrial septal defect, these anomalies may be explained by a single embryologic event affecting conobulbar septation and aortic arch development occurring at the level of neural crest development.
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19
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Feigl D, Feigl A, Edwards JE. Mycotic aneurysms of the aortic root. A pathologic study of 20 cases. Chest 1986; 90:553-7. [PMID: 3757565 DOI: 10.1378/chest.90.4.553] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
Twenty specimens of heart with mycotic aneurysms at the aortic root were studied. In ten cases, mycotic aneurysm followed infection of the aortic valve. In one case, it developed following infection of an aortic jet lesion, and in nine patients, the aneurysm was at the seat of a prosthetic aortic valve. In seven of the 11 cases with a natural aortic valve, the valve was either unicuspid or bicuspid. A retrospective evaluation of the data on the clinical records of the 20 patients revealed that infective endocarditis or noncardiac postoperative sepsis was present in 11. The most frequently isolated microorganism was Staphylococcus aureus. Conduction disturbances were found in six patients, all of them with involvement of the atrioventricular node by the aneurysm. Perforation into intracardiac cavities was found in four, two into the right ventricular infundibulum and one each into each atrium. Pericardial tamponade was caused by bleeding from the aneurysm in two cases, and myocardial infarction was a probable consequence of coronary arterial compression by the aneurysm in two cases. Mycotic aneurysms of the aortic root, in spite of their being partially or completely healed of active infection, carry a high risk of the complications enumerated. Among the 20 cases, cultures were positive in 11 and negative in nine. Staphylococcus aureus was cultured from five of the cases.
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Abstract
Unruptured aneurysm of the sinus of Valsalva coexistent with extensive coronary atherosclerosis was noted in a 65-year-old man. He underwent transaortic patch repair of the aneurysm and quadruple aortocoronary bypass. The essential features of adequate management of this association are discussed.
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Kaye GC, Edmonson SJ, Caplin JL, Tunstall-Pedoe DS. Rupture of an aneurysm of the sinus of Valsalva into the superior vena cava. Thorax 1984; 39:475-6. [PMID: 6463922 PMCID: PMC459837 DOI: 10.1136/thx.39.6.475] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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Abstract
An isolated unruptured aneurysm of the left coronary sinus of Valsalva was detected incidentally in a patient with a bicuspid aortic valve in whom the left circumflex coronary artery arose from the right coronary artery. With the patient on cardiopulmonary bypass, the mouth of the aneurysm was closed by suturing the reflected posterior cusp of the aortic valve to the aortic root. A Starr-Edwards prosthetic aortic valve was inserted, and an aortocoronary saphenous vein bypass graft maintained good blood flow down the left anterior descending coronary artery. Previous reports of this rare condition and its treatment are discussed.
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Anzai N, Yamada M, Fijii N, Kazama Y, Miyazawa S. Ruptured aneurysm of aortic sinus of Valsalva into right ventricle. Chest 1979; 76:594-6. [PMID: 498834 DOI: 10.1378/chest.76.5.594] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
We report a patient with ruptured aneurysm of the aortic sinus of Valsalva into the right ventricle, whose heart murmur represented only a diastolic element without aortic regurgitation. Surgery revealed a small opening through myocardium of the ventricular septum without ventricular septal defect. During systole, the opening was constricted and presumably closed with myocardial contraction, and left-to-right shunt might have occurred only in diastole. This might lead to only a diastolic murmur.
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Raizes GS, Smith HC, Vlietstra RE, Puga FJ. Ventricular tachycardia secondary to aneurysm of sinus of Valsalva. J Thorac Cardiovasc Surg 1979. [DOI: 10.1016/s0022-5223(19)38170-x] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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27
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Boutefeu JM, Moret PR, Hahn C, Hauf E. Aneurysms of the sinus of Valsalva. Report of seven cases and review of the literature. Am J Med 1978; 65:18-24. [PMID: 685991 DOI: 10.1016/0002-9343(78)90687-3] [Citation(s) in RCA: 59] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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29
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De Cock KM, Rees JR. Staphylococcal aortic valve endocarditis with aortic root to right atrial fistula. Postgrad Med J 1978; 54:413. [PMID: 683911 PMCID: PMC2425174 DOI: 10.1136/pgmj.54.632.413] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Infective endocarditis can be complicated by the development of intra-cardiac shunts. A case of endocarditis secondary to staphylococcal septicaemia is reported where various conduction defects preceded the development of a fistula from the aortic root to the right atrium. Before emergency surgery there was marked worsening of heart failure with the appearance of a new loud murmur throughout diastole.
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30
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Norwicki ER, Aberdeen E, Friedman S, Rashkind WJ. Congenital left aortic sinus-left ventricle fistula and review of aortocardiac fistulas. Ann Thorac Surg 1977; 23:378-88. [PMID: 849055 DOI: 10.1016/s0003-4975(10)64149-5] [Citation(s) in RCA: 63] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
A fistula from the left aortic sinus to the left ventricle is reported that was successfully repaired using cardiopulmonary bypass. In addition, 175 cases of fistula to the heart from the aortic sinuses published in the English literature from 1839 through 1972 were studied, with particular emphasis on the 126 patients who underwent operative repair. The major cause of the fistulas (76%) was found to be rupture of a congenital aortic sinus aneurysm, usually during the third or fourth decade of life. The remainder of these fistulas to the heart consisted of simply a tract in an otherwise normal sinus. Ventricular septal defect was the most common associated defect and, when present, was nearly always related to a fistula arising from the right aortic sinus. Repair was successful in 86% of the 126 operated patients. The principles of operative treatment of these fistulas are reviewed.
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Anzai N, Okada T, Takanashi Y, Sano A, Yamada M. Ruptured aneurysm of aortic sinus of Valsalva into right atrium. Associated atrioventricular block presumable caused by aneurysmal compression of His bundle. Chest 1976; 70:309-11. [PMID: 947703 DOI: 10.1378/chest.70.2.309] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
We have seen a case of rupture of an aneurysm of the noncoronary sinus into the right atrium. Surgery revealed an aneurysmal mass the size of the tip of an index finger extending through the inter-atrial septum down to just above the tricuspid valvular ostium. An electrocardiogram showed first-degree atrioventricular block, while the His bundle electrogram demonstrated the presence of disturbances in the intra-atrial as well as His bundle conduction. The disturbance in His bundle conduction was interpreted as being due to compression of the His bundle by the aneurysm.
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Bulkley BH, Hutchins GM, Ross RS. Aortic sinus of Valsalva aneurysms simulating primary right-sided valvular heart disease. Circulation 1975; 52:696-9. [PMID: 1157285 DOI: 10.1161/01.cir.52.4.696] [Citation(s) in RCA: 47] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
While acute regurgitation is the most common valvular lesion associated with aortic sinus of Valsalva aneurysms, this report describes the pathological findings in five patients in whom primary right-sided valve dysfunction was simulated by sinus of Valsalva aneurysms. In two patients aneurysms of the noncoronary sinus projected into the right atrium at the level of the tricuspid valve and caused tricuspid incomptence. In three patients aneurysms of the right sinus of Valsalva projected into the right ventricle immediately below the pulmonic valve and caused pulmonary outflow tract obstruction. In only one of these patients was the aneurysm perforated at necropsy. Although valvular dysfunction was evident clinically, in none was there a clinical suspicion of a sinus of Valsalva aneurysm. In addition to valvular dysfunction, two patients had conduction disturbances and two, right coronary arterial occlusions found to be the result of aneurysms. The risks of valve dysfunction, arrythmias, aneurysm rupture, and sudden death and the ability to correct this lesion surgically make it especially important to consider aortic sinus of Valsalva aneurysm as a cause of obscure right-sided valvular disease.
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33
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Conde CA, Meller J, Donoso E, Dack S. Bacterial endocarditis with ruptured sinus of Valsalva and aorticocardiac fistula. Am J Cardiol 1975; 35:912-7. [PMID: 1130292 DOI: 10.1016/0002-9149(75)90128-9] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
A case is presented of bacterial endocarditis with a ruptured sinus of Valsalva and formation of an aorticocardiac fistula from the right coronary sinus into the right atrium and right ventricle. The pathologic, clinical and surgical aspects of bacterial endocarditis complicated by a ruptured sinus of Valsalva and an aorticocardiac fistula are analyzed. This complication of bacterial endocarditis is still uncommon, but alertness to its diagnosis makes possible early and successful surgical treatment.
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34
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Wong HO, Ang AH. Aneurysms of the aortic sinus of Valsalva. A review of the clinical, radiological and pathological features. AUSTRALIAN AND NEW ZEALAND JOURNAL OF MEDICINE 1974; 4:570-6. [PMID: 4533947 DOI: 10.1111/j.1445-5994.1974.tb03240.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Temes GD, Wheat MW. The management of aneurysms of the aorta. Dis Mon 1974:1-38. [PMID: 4496806 DOI: 10.1016/s0011-5029(74)80003-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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Sethi GK, Class RN, Scott SM, Srivastava TN, Takaro T. Aortic sinus of valsalva-pulmonary artery fistula; diagnosis and management. Chest 1974; 65:568-71. [PMID: 4826036 DOI: 10.1378/chest.65.5.568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
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37
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Prian GW, Diethrich EB. Sinus of Valsalva abnormalities. A specific differentiation between aneurysms of an aneurysms involving the sinuses of Valsalva. VASCULAR SURGERY 1973; 7:155-64. [PMID: 4716633 DOI: 10.1177/153857447300700304] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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WILSON AC, Simpson WL, Richardson JP, Clarebrough JK. Mycotic aneurysms of the aortic root. THE AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY 1972; 42:113-22. [PMID: 4533401 DOI: 10.1111/j.1445-2197.1972.tb06757.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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39
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Shumacker HB. Aneurysms of the aortic sinuses of Valsalva due to bacterial endocarditis, with special reference to their operative management. J Thorac Cardiovasc Surg 1972. [DOI: 10.1016/s0022-5223(19)41815-1] [Citation(s) in RCA: 29] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Houghton GR, Harrison GK, Braimbridge MV. Ruptured sinus of Valsalva aneurysm after lung resection. Br J Surg 1971; 58:309-12. [PMID: 5572370 DOI: 10.1002/bjs.1800580416] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
Abstract
A patient is described who previously had a lobectomy for a Pancoast tumour involving her brachial plexus and who subsequently developed a ruptured sinus of Valsalva aneurysm from the right coronary sinus into the righ atrium. The classic mode of presentation and successful operation are described.
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Abstract
A case of congenital aneurysm of the pulmonary sinus (sinus of Valsalva) in a 7-year-old child is described. The child met a traumatic death and manifested no symptoms or definite signs of his valvular defect. The heart was of normal weight, and no other abnormalities of the heart or other organs were present. This is the first report of sinus aneurysm of the pulmonary valve. The pathogenetic implications and possible clinical consequences of this defect are discussed.
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43
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De Bakey ME, Diethrich EB, Liddicoat JE, Kinard SA, Edward Garrett H. Abnormalities of the sinuses of Valsalva. J Thorac Cardiovasc Surg 1967. [DOI: 10.1016/s0022-5223(19)43076-6] [Citation(s) in RCA: 51] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Minkoff SM, Fort ML, Sharp JT. Rupture of an aneurysm of the sinus of valsalva into the right atrium. Observations using a catheter-tip micromanometer-microphone. Am J Cardiol 1967; 19:278-84. [PMID: 6016429 DOI: 10.1016/0002-9149(67)90546-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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45
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Morch JE, Greenwood WF. Rupture of the sinus of valsalva. A study of eight cases with discussion on the differential diagnosis of continuous murmurs. Am J Cardiol 1966; 18:827-36. [PMID: 5926851 DOI: 10.1016/0002-9149(66)90426-7] [Citation(s) in RCA: 23] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Abstract
A case of aortic-left atrial communication is presented in a patient with chronic rheumatic heart disease. The rarity of this lesion, especially in association with rheumatic heart disease, is stressed and the diagnostic and therapeutic problems inherent in such a lesion are briefly discussed.
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PARKER JO, CONNELL WF. RUPTURED CONGENITAL ANEURYSM OF THE SINUS OF VALSALVA. CANADIAN MEDICAL ASSOCIATION JOURNAL 1965; 92:1314-7. [PMID: 14292896 PMCID: PMC1928422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/26/2023]
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Abstract
Clinical and autopsy findings in a case of a congenital aneurysm of the base of the aorta involving the right sinus of Valsalva and communicating with the left ventricle are presented. The mechanism of development and possible etiologic factors are discussed.
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