Document Detail

Aortic sinus of Valsalva aneurysms simulating primary right-sided valvular heart disease.
MedLine Citation:
PMID:  1157285     Owner:  NLM     Status:  MEDLINE    
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.
B H Bulkley; G M Hutchins; R S Ross
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Circulation     Volume:  52     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1975 Oct 
Date Detail:
Created Date:  1975-11-26     Completed Date:  1975-11-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  696-9     Citation Subset:  AIM; IM    
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MeSH Terms
Aortic Aneurysm / complications,  diagnosis*,  pathology
Diagnosis, Differential
Heart Valve Diseases / diagnosis*
Middle Aged
Pulmonary Valve Stenosis / etiology
Tricuspid Valve Insufficiency / etiology

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