| Complicated ruptured sinus of Valsalva: cardiac computed tomographic angiography (64 slice) predicts surgical appearance and obviates need for invasive cardiac catheterization. | |
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MedLine Citation:
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PMID: 19720659 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We present a case report of a ruptured sinus of Valsalva aneurysm (SVA) that presented as aortic insufficiency following bacterial endocarditits in a cardiac transplant patient. Cardiac computed tomographic angiography (CCTA) including volume rendered images predicted the appearance of the fistula entrance and defined spatial relationships facilitating the surgical approach. CCTA ability to define the coronary anatomy obviated the need for invasive coronary angiography. The use of this imaging modality especially with three-dimensional spatial visualization, and multiphase cine angiography can add significant value to the care of a patient with ruptured sinus of Valsalva. |
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Authors:
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Thomas K Ro; Bruno R Cotter; Sinan A Simsir; Ronald P Karlsberg |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-08-31 |
Journal Detail:
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Title: Interactive cardiovascular and thoracic surgery Volume: 9 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2009-10-15 Completed Date: 2009-12-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
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Languages: eng Pagination: 888-90 Citation Subset: IM |
Affiliation:
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University of San Diego School of Medicine, San Diego, CA, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aneurysm, False
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etiology,
radiography*,
surgery Aortic Aneurysm / etiology, radiography*, surgery Aortic Rupture / etiology, radiography*, surgery Aortic Valve Insufficiency / etiology, radiography Bioprosthesis Cineangiography* Coronary Angiography / methods* Endocarditis, Bacterial / complications, radiography Heart Catheterization* Heart Diseases / etiology, radiography Heart Valve Prosthesis Heart Valve Prosthesis Implantation / instrumentation Heart Ventricles / radiography Humans Male Middle Aged Pericardium / transplantation Predictive Value of Tests Sinus of Valsalva / radiography*, surgery Tomography, X-Ray Computed* Treatment Outcome Vascular Fistula / etiology, radiography |
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