Ruptured Aneurysm of Sinus of Valsalva Into the Right Ventricle: The Role of Echocardiography

  • Primawati A Departemen Kardiologi dan Kedokteran Vaskular, Universitas Indonesia / RSJPD Harapan Kita
  • Krisdinarti L Departemen Kardiologi dan Kedokteran Vaskular, Universitas Indonesia / RSJPD Harapan Kita
  • Mumpuni H Departemen Kardiologi dan Kedokteran Vaskular, Universitas Indonesia / RSJPD Harapan Kita
Keywords: Sinus of Valsalva - Ruptured aneurysm - right ventricle - transthoracic echocardiography - transesophageal

Abstract

1% of the incidence of congenital cardiac anomalies. The most frequent complication is rupture into the right ventricle, causing a shunt from left to right or aortic valve insufficiency with congestive heart failure requiring immediate surgical management. Echocardiography is a diagnostic modality that can be used to help diagnose the presence of sinus Valsalva aneurysm and complications.Clinical case: A 35 years old man with complaints dating dyspnoea on exertion and swelling in both legs. Cardiac auscultation obtained their continuous noisy grade III / VI in the lower left sternal border. Electrocardiography showed sinus tachycardia tachycardia with right axis deviation, right ventricular hypertrophy, and ventricular extrasystoles. Transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) shows an overview of the sinus of Valsalva aneurysm rupture to the right of the right ventricle.Discussion: When on the clinical findings led to the suspicion rupur sinus of Valsalva aneurysm, the evaluation can be performed using TTE, TEE, Magnetic Resonance Imaging (MRI), maupunkateterisasi heart. Gold standard diagnosis of ruptured sinus Valsalva aneurysm is a cardiac catheterization, but with the advancement of a new generation of engines echocardiography, TTE and TEE has played an important role in the diagnostic confirmation of sinus of Valsalva aneurysm rupture.Conclusion: Echocardiography is the diagnostic modality that is quite helpful in making the diagnosis, complications and surgical therapeutic options in cases of ruptured sinus of Valsalva aneurysm.

Downloads

Download data is not yet available.

References

Chang, C.C., Chin, C.H., Chin, M.L. 2006. Sinus of Valsalva Aneurysm with Rupturing into the Right Atrium - A Case Report and Review of the Literature. Acta Cardiol Sin; 22:96-101.

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

Wells, T., Byrd, B., Neirste, D. 1999. Sinus of Valsalva Aneurysm With Rupture Into the Interventricular Septum and Left Ventricular Cavity. Circulation; 100:1843-1844.

Shah, R.P., Ding, Z.P., Quek, S. 2001. A ten-year review of ruptured sinus of valsalva: clinico-pathological and echo-Doppler features. Singapore Med J; 42:473-476.

Chu, S.H., Hung, C.R., How, S.S., Chang, H., Wang, S.S., Tsai, C.H. 1990. Ruptured aneurysms of the sinus of Valsalva in Oriental patients. J Thorac Cardiovasc Surg; 99:288-298.

Harkness, J., Fitton, T., Barreiro, C.J., Alejo, D., Gott, V.L., Baumgartner, W.A. 2005. A 32-year experience with surgical repair of sinus of Valsalva aneurysms. J Cardiac Surg; 20:198-204.

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

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; 11:619-621.

Henze, A., Huttunen. H., Bjork, V.O. 1983. Ruptured sinus Valsalva aneurysms. Scand J Thorac Cardiovasc Surg; 17:249-253.

Malcolm, I. 1996. Unruptured aneurysm of the sinus of Valsalva. Can J Cardiol; 12:783-785.

Published
2017-01-24

Abstract viewed :
53 times
PDF downloaded : 163 times

How to Cite
A, P., L, K., & H, M. (2017). Ruptured Aneurysm of Sinus of Valsalva Into the Right Ventricle: The Role of Echocardiography. Indonesian Journal of Cardiology, 37(1), 33-7. https://doi.org/10.30701/ijc.v37i1.554
Section
Case Reports