Document Detail

A ruptured right sinus of Valsalva diverticled aneurysm: echocardiographic diagnosis and surgical repair.
MedLine Citation:
PMID:  20212424     Owner:  NLM     Status:  MEDLINE    
Aneurysms of sinus of Valsava (SV) are uncommon heart lesions resulting from either a congenital deficiency or an acquired degeneration of the aortic wall. Usually these lesions are asymptomatic and incidentally diagnosed by echocardiography. Therefore when rupture occurs, they might require a prompt surgical operation. We report the case of a 58-year-old man who suddenly developed chest pain. On physical examination a new finding of sistodyastolic murmur was detected. On two-dimensional echocardiography was evidenced an aneurysm of the right SV ruptured in the right atrium. The patient was submitted to urgent surgery. Surgical aneurysm exclusion was achieved through a double access either transaortic and trans-right atrium approach. The right SV was obliterated by suturing a dacron patch on the aortic site while complete exclusion of the aneurysm expanding in the right atrium, was acquired through the right atrium itself, by 5/0 continous prolene suture line. The postoperative course was uneventful and the patient was discharged on 6th postoperative day. Transesophageal echocardiography represent the gold standard technique to assess this disease and to plan the adequate surgical treatment. The management of an asymptomatic, non ruptured aneurysm is not clear, however surgery is advisable when the aneurysm is complicated by rupture with an acceptably low operative risk and good long-term outcome.
G Rescigno; M L S Matteucci; F Capestro; M D Pierri; S Bucari; G Iacobone; G P Piccoli
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Minerva chirurgica     Volume:  65     ISSN:  0026-4733     ISO Abbreviation:  Minerva Chir     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-03-09     Completed Date:  2010-09-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400726     Medline TA:  Minerva Chir     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  123-6     Citation Subset:  IM    
Cardiac Surgery Department, Presidio Lancisi, Ospedali Riuniti di Ancona, Ancona, Italy.
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MeSH Terms
Aortic Aneurysm / surgery*,  ultrasonography*
Aortic Rupture / surgery*,  ultrasonography*
Middle Aged
Sinus of Valsalva*

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

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