Document Detail

Valsalva sinus aneurysm of the non-coronary cuspid presenting as cyclops sign on multi-detector computed tomography.
MedLine Citation:
PMID:  22964286     Owner:  NLM     Status:  In-Data-Review    
An 8-year-old girl with Williams syndrome was found to have a heart murmur. Cardiac CT demonstrated a Valsalva sinus aneurysm (VSA) of the non-coronary cuspid, with left atrium (LA) indentation, resembling the face of Cyclops on a coronal reformatted image. Williams syndrome is related to some congenital disorders with interruption of the tunica media from the aortic root to the annular fibrous ring or aortic valve. However, it rarely presents at birth. The sinus of Valsalva dilates as time goes by, due to the persistent striking force from the left ventricle (LV). However, it is silent until rupture when cardiac tamponade occurs. The typical imaging appearance of VSA is of a saccular shape and originates above the aortic root, but sometimes involves the entire sinus. Although lethal complications of VSA occur without warning, prophylactic surgical intervention remains controversial. Regular imaging follow-up is advised before complications occur.
Wei-Yi Ting; Chui-Mei Tiu; Jen-Dar Chen; Yi-Hong Chou; Cheng-Yen Chang
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Publication Detail:
Type:  Journal Article     Date:  2012-07-20
Journal Detail:
Title:  Pediatrics and neonatology     Volume:  53     ISSN:  1875-9572     ISO Abbreviation:  Pediatr Neonatol     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-09-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101484755     Medline TA:  Pediatr Neonatol     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  269-71     Citation Subset:  IM    
Copyright Information:
Copyright © 2012. Published by Elsevier B.V.
Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan.
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