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CIU Cardiac Image Updated

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Sociedad Nacional de Ecocardiografía de México AC (SONECOM)
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2019, Number 3

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CIU Cardiac Image Updated 2019; 1 (3)

Sinus of Valsalva aneurysm: congenital or acquired? A multimodal imaging approach. Case report

Baeza‑Herrera LA, Cuevas‑Medina EN, Murillo‑Ochoa AL, Ramírez‑Rangel P
Full text How to cite this article 10.35366/91810

DOI

DOI: 10.35366/91810
URL: https://dx.doi.org/10.35366/91810

Language: Portugu?s
References: 6
Page: 93-95
PDF size: 196.43 Kb.


Key words:

Infective endocarditis, sinus of Valsalva aneurism, echocardiography, cardiac computed tomography.

ABSTRACT

Sinus of Valsalva aneurysm is a rare finding that could be acquired or congenital. The acquired form may result from trauma, Marfan’s syndrome and infective endocarditis. We report the case of a 36-year-old man with heart failure and aortic regurgitation, was suspected to have infectious endocarditis. The diagnosis workup revealed sinus of Valsalva aneurysm and bicuspid aortic valve. The patient underwent cardiac surgery to replace the aortic valve and exclude the sinus of Valsalva aneurysm and successfully discharged with no heart failure symptoms. This case highlights the importance of multimodal imaging in patients with IE to make a correct diagnosis of local complication like sinus of Valsalva aneurysm.


REFERENCES

  1. Goldberg N, Krasnow N. Sinus of Valsalva aneurysms. Clin Cardiol. 1990; 13 (12): 831-836.

  2. Habib G, Lancellotti P, Antunes MJ, et al. 2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC) Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM). Eur Heart J. 2015; 36 (44): 3075-3128.

  3. Lee CC, Siegel RJ. Sinus of Valsalva pseudoaneurysm as a sequela to infective endocarditis. Tex Heart Inst J. 2016; 43 (1): 46-48.

  4. Moustafa S, Mookadam F, Cooper L, et al. Sinus of Valsalva aneurysms-47 years of a single center experience and systematic overview of published reports. Am J Cardiol. 2007; 99 (8): 1159-1164.

  5. Baddour LM, Wilson WR, Bayer AS, et al. Infective endocarditis in adults: diagnosis, antimicrobial therapy, and management of complications: a scientific statement for healthcare professionals from the American Heart Association. Circulation. 2015; 132 (15): 1435-1486.

  6. Cahill TJ, Baddour LM, Habib G, et al. Challenges in infective endocarditis. J Am Coll Cardiol. 2017; 69 (3): 325-344.




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CIU Cardiac Image Updated . 2019;1