Document Detail

Unruptured sinus of Valsalva aneurysm in an asymptomatic patient.
MedLine Citation:
PMID:  12050612     Owner:  NLM     Status:  MEDLINE    
A 75-year-old asymptomatic male patient was referred for transesophageal echocardiography after detection of a diastolic murmur on routine physical examination and widened mediastinum on a chest radiograph. Transesophageal echocardiography revealed a large, unruptured sinus of Valsalva aneurysm, filled with a thrombus and spontaneous echocontrast and protruding into the right atrium. Unruptured sinus of Valsalva aneurysms are rare, frequently asymptomatic, and not associated with any physical findings. The diagnosis was made by transesophageal echocardiography and was confirmed by angiography and at surgery. The need for corrective surgery of asymptomatic, incidentally diagnosed sinus of Valsalva aneurysm is not well defined in the absence of precise knowledge of its natural history. We provide a description of the natural history and rationale for early corrective surgery of sinus of Valsalva aneurysms in asymptomatic patients.
Subhash Banerjee; Dinesh H Jagasia
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:  15     ISSN:  0894-7317     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:  2002 Jun 
Date Detail:
Created Date:  2002-06-06     Completed Date:  2002-09-05     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:  668-70     Citation Subset:  IM    
Department of Internal Medicine, Division of Cardiology, Veterans Affairs Medical Center and University of Iowa Hospitals and Clinics, Iowa City 52246, USA.
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MeSH Terms
Aortic Aneurysm / ultrasonography*
Echocardiography, Transesophageal
Sinus of Valsalva / ultrasonography*

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