Document Detail


Complicated ruptured sinus of Valsalva: cardiac computed tomographic angiography (64 slice) predicts surgical appearance and obviates need for invasive cardiac catheterization.
MedLine Citation:
PMID:  19720659     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Thomas K Ro; Bruno R Cotter; Sinan A Simsir; Ronald P Karlsberg
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-08-31
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  9     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2009 Nov 
Date Detail:
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    
Other Details:
Languages:  eng     Pagination:  888-90     Citation Subset:  IM    
Affiliation:
University of San Diego School of Medicine, San Diego, CA, USA.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / 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

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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