Document Detail

Unruptured aneurysm of the sinus of valsalva with Behçet's disease.
MedLine Citation:
PMID:  11999657     Owner:  NLM     Status:  MEDLINE    
A 52-year-old Japanese man who had suffered from Behçet's disease since the age of 45 years was admitted to hospital for evaluation of syncope and heart murmur. Echocardiography and aortography revealed severe aortic regurgitation and cystic masses under the right coronary cusp and the left ventricular outflow tract, but no shunt jet. He was diagnosed with unruptured aneurysm of the sinus of Valsalva, and surgical closure of the orifice of the aneurysm was performed. The diameter of the orifice was 11 mm and the aneurysm was 15 mm in depth, and consisted of 2 chambers. Because the aortic regurgitation was reduced after patch closure of the orifice, aortic valve replacement was not performed. Unruptured aneurysm of the sinus of Valsalva is a rare clinical lesion, but patients with active inflammatory disease of the aorta, such as in Behçet's disease, should have periodic echocardiography for early detection of an aneurysm or valvular involvement, even if there are not any symptoms.
Takanori Kusuyama; Yasuhiro Nakamura; Hiroyuki Yamagishi; Kenei Shimada; Hiroyuki Watanabe; Takashi Muro; Minoru Yoshiyama; Masakazu Teragaki; Kaname Akioka; Kazuhide Takeuchi; Junichi Yoshikawa; Koji Hattori; Toshihiko Shibata; Shigefumi Suehiro
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  66     ISSN:  1346-9843     ISO Abbreviation:  Circ. J.     Publication Date:  2002 Jan 
Date Detail:
Created Date:  2002-05-09     Completed Date:  2002-09-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  107-8     Citation Subset:  IM    
Departments of Internal Medicine and Cardiology, Osaka City University Graduate School of Medicine, Osaka, Japan.
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MeSH Terms
Aortic Aneurysm / radiography*,  surgery,  ultrasonography
Behcet Syndrome / pathology*
Cardiopulmonary Bypass
Middle Aged
Sinus of Valsalva* / surgery
Treatment Outcome

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