|Complicated ruptured sinus of Valsalva: cardiac computed tomographic angiography (64 slice) predicts surgical appearance and obviates need for invasive cardiac catheterization.|
|PMID: 19720659 Owner: NLM Status: MEDLINE|
|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.|
|Thomas K Ro; Bruno R Cotter; Sinan A Simsir; Ronald P Karlsberg|
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|Type: Case Reports; Journal Article Date: 2009-08-31|
|Title: Interactive cardiovascular and thoracic surgery Volume: 9 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2009 Nov|
|Created Date: 2009-10-15 Completed Date: 2009-12-24 Revised Date: -|
Medline Journal Info:
|Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England|
|Languages: eng Pagination: 888-90 Citation Subset: IM|
|University of San Diego School of Medicine, San Diego, CA, USA.|
|APA/MLA Format Download EndNote Download BibTex|
Aortic Aneurysm / etiology, radiography*, surgery
Aortic Rupture / etiology, radiography*, surgery
Aortic Valve Insufficiency / etiology, radiography
Coronary Angiography / methods*
Endocarditis, Bacterial / complications, radiography
Heart Diseases / etiology, radiography
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation / instrumentation
Heart Ventricles / radiography
Pericardium / transplantation
Predictive Value of Tests
Sinus of Valsalva / radiography*, surgery
Tomography, X-Ray Computed*
Vascular Fistula / etiology, radiography
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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