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>Journals >Cirugía y Cirujanos >Year 2009, Issue 6


Galicia-Tornell MM, Marín-Solís B, Mercado-Astorga O, Espinoza-Anguiano S, Martínez-Martínez M, Villalpando-Mendoza E
Aneurisma del seno de Valsalva roto. Informe de casos y revisión de la literatura
Cir Cir 2009; 77 (6)

Language: Español
References: 15
Page: 473-477
PDF: 143.04 Kb.

[Full text - PDF]

ABSTRACT

Background: The sinus of Valsalva aneurysm (SVA) is a small dilatation caused by a separation between the aortic media and annulus fibrosus. Its origin may be either acquired or congenital. The right coronary sinus is most frequently affected, with the most common complication being rupture. Clinical cases: We report two cases of SVA complicated with rupture to the right cavities with severe cardiac failure, which represents 0.4% of the total cardiac surgeries performed during the past year in our hospital. Case 1: We present the case of a 27-year-old male with low-effort dyspnea, nocturnal paroxysmal dyspnea, orthopnea, paroxysmal auricular fibrillation, diastolic murmur, hepatomegaly and edema of the lower extremities. Case 2: We present the case of a 33-year-old male with loweffort dyspnea, nocturnal paroxysmal dyspnea, orthopnea, diastolic murmur, severe kidney insufficiency and congestive hepatic insufficiency. Surgical resolution consisted of aneurysm resection and closing of the defect wi th a Dacron patch, preserving the aortic valve. Both patients survived. Conclusions: Cardiac failure and sudden auscultation changes suggest the possibility of SVA rupture. Echocardiography is sufficient to diagnose SVA, its complications, repercussions, and surgical options. SVA, even if asymptomatic, has potential risks of expansion, rupture, cardiac failure, endocarditis, embolism and sudden death. This justifies surgical correction, with a low mortality rate in both the short- and long-term.


Key words: Sinus of Valsalva, aneurysm rupture.


REFERENCES

  1. 1.Ott D. Aneurysm of the sinus of Valsalva. Cardiac Surg Ann 2006;9:165-176.

  2. Caballero J, Arana R, Calle G, Caballero FJ, Sancho M, Piñero C. Aneurisma congénito del seno de Valsalva roto a ventrículo derecho, comunicación interventricular e insuficiencia aórtica. Rev Esp Cardiol 1999;52:635-638.

  3. 3.Steves W. Congenital heart surgery nomenclature and database project: aortic aneurysm, sinus of valsalva aneurysm, and aortic dissection. Ann Thoracic Surg 2000;69:S147-S163.

  4. Regueiro M, Penas M, López V, Castro A. Aneurisma del seno de Valsalva como causa de un infarto agudo de miocardio. Rev Esp Cardiol 2002;55:77-79.

  5. 5.Vautrin E, Barone-Rochette G, Philippe J. Rupture of right sinus of Valsalva into right atrium: ultrasound, magnetic resonance, angiography and surgical imaging. Arch Cardiovasc Dis 2008;101:501-502.

  6. Missault L, Callens B, Taeymans Y. Echocardiography of sinus of Valsalva aneurysm with rupture into the right atrium. Int J Cardiol 1995;47: 269-272.

  7. Chu SH, Hung CR, How SS, Chang H, SS Wang, Tsai CH, et al. Ruptured aneurysms of the sinus of Valsalva in Oriental patients. J Thorac Cardiovasc Surg 1990;99:288-298.

  8. Dong C, YuWu Q, Tang Y. Ruptured sinus of Valsalva aneurysm: a Beijing experience. Ann Thorac Surg 2002;74:1621-1624.

  9. Harkness J, Fitton T, Barreiro CJ, Alejo D, Gott VL, Baumgartner WA. A 32-year experience with surgical repair of sinus of Valsalva aneurysms. J Cardiac Surg 2005;20:198-204.

  10. Vázquez C, Erdmenger J, Roldán FJ, Romero A, Vargas J. Valoración ecocardiográfica bi y tridimensional de aneurisma no roto del seno de Valsalva. Arch Cardiol Mex 2005;75:148-153.

  11. Leos A, Benavides M, Nacoud A, Rendón F. Aneurisma del seno de Valsalva con rotura al ventrículo derecho, relacionado con comunicación interventricular perimembranosa. Med Univ 2007;9:77-81.

  12. Marciani G, Pulita M, Boccio E, Verdugo RA. Rotura de aneurisma del seno de Valsalva coronariano derecho. A propósito de un caso. Rev Fed Arg Cardiol 2006;35:186-188.

  13. Sánchez M, García M, Quintana C, Kareh J. Heart failure in rupture of a sinus of valsalva aneurysm. Am J Med Sci 2006;331:100-102.

  14. Lobato E, Greene M, Malias M, Gravenstein N. Intraoperative usefulness of transesophageal echocardiography: detection of unsuspected rupture of an aneurysm of the sinus of Valsalva. J Cardiothorac Vasc Anesth 1997;11:619-621.

  15. Beck M, Blanco F, Márquez E, Papantoniou A, Spernanzoni F, Lax J, et al. Aneurisma congénito del seno de Valsalva roto a ventrículo derecho asociado a comunicación interventricular. Rev CONAREC 2003;71:158-160.






>Journals >Cirugía y Cirujanos >Year 2009, Issue 6
 

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