Document Detail

Ruptured sinus of Valsalva aneurysm simulating endocarditis.
MedLine Citation:
PMID:  9339429     Owner:  NLM     Status:  MEDLINE    
A previously healthy, 31-year-old man was evaluated in the emergency department after being violently assaulted. A harsh, continuous murmur was noted on physical examination. Transthoracic and transesophageal echocardiograms were interpreted as showing a ruptured sinus of Valsalva aneurysm with a shunt into the right atrium and a tricuspid valve vegetation. The patient was treated with antibiotics for presumed endocarditis. Subsequent echocardiographic and surgical evaluation showed no evidence of past or present endocarditis. Rather, the sinus of Valsalva aneurysm and rupture gave the appearance of a valvular mass. This report shows some of the potential pitfalls in the delineation of abnormalities related to sinus of Valsalva aneurysms and rupture.
J Kuvin; M Vannan; G Corrodi; K Warner; R Bojar; N G Pandian
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  10     ISSN:  0894-7317     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:  1997 Sep 
Date Detail:
Created Date:  1997-12-02     Completed Date:  1997-12-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  756-9     Citation Subset:  IM    
Cardiovascular Imaging and Hemodynamic Laboratory, New England Medical Center, Tufts University School of Medicine, Boston, MA 02111, USA.
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MeSH Terms
Aortic Aneurysm / etiology,  ultrasonography*
Aortic Rupture / etiology,  ultrasonography*
Diagnosis, Differential
Echocardiography, Transesophageal
Endocarditis, Bacterial / ultrasonography*
Heart Atria / ultrasonography
Sinus of Valsalva / injuries,  ultrasonography*
Tricuspid Valve / ultrasonography
Tricuspid Valve Insufficiency / ultrasonography

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

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