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Ruptured aneurysm of the noncoronary sinus of valsalva into the right atrium.

Authors
  • Mujanovic, Emir
  • Kabil, Emir
  • Bergsland, Jacob
  • Stanimirovic-Mujanovic, Sanja
  • Caluk, Jasmin
Type
Published Article
Journal
Medicinski arhiv
Publication Date
Jan 01, 2010
Volume
64
Issue
5
Pages
307–308
Identifiers
PMID: 21287960
Source
Medline
License
Unknown

Abstract

Sinus of Valsalva (SV) aneurysm is rare cardiac lesion with variable clinical presentation. We presented a case of a 41-year-old female who was admitted to our Center because of severe heart failure and a signs of ruptured aneurysm of the SV into the right atrium. Transthoracic echocardiography confirmed communication between noncoronary SV and right atrium measuring 12 mm in diameter, tricuspid insufficiency, biatrial dilatation and preserved left ventricular function. Urgent heart catheterization showed normal coronary arteries. Surgical repair with patch repair of the ruptured aneurysm was performed. Control echocardiography showed no communication with regression in tricuspid insufficiency. Eight days after surgery the patient was discharged home in good condition with no symptoms. Rupture of SV aneurysm may produce serious hemodynamic instability with heart failure or sudden death. Our experience supports the concept that early diagnosis and surgical treatment can save lives for most of the patients.

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