Document Detail

A sinus of Valsalva-right atrium fistula without aneurysm formation.
MedLine Citation:
PMID:  20424364     Owner:  NLM     Status:  MEDLINE    
A 61-year-old man was admitted to the hospital because of orthopnea and was diagnosed with heart failure with a continuous heart murmur. A transthoracic echocardiogram revealed turbulent flow from the right coronary sinus of Valsalva to the right atrium throughout the cardiac cycle. Aortography confirmed the presence of a shunt jet from the right coronary sinus of Valsalva to the right atrium. Cardiac catheterization revealed a left-right shunt rate of 47% and a pulmonary to systemic blood flow ratio of 1.81. Transesophageal echocardiography confirmed the existence of the shunt jet and revealed no deformity of the sinus of Valsalva. We report a rare case of sinus of Valsalva-right atrium fistula without typical aneurysmal formation.
Yumiko Kanzaki; Fumio Terasaki; Shigeo Fuji; Tomokazu Kashiyama; Shoji Kaibe; Yasuji Doi; Yasushi Kitaura
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-04-15
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  49     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2010  
Date Detail:
Created Date:  2010-04-28     Completed Date:  2010-12-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  749-51     Citation Subset:  IM    
Department of Internal Medicine III, Osaka Medical College, Takatsuki.
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MeSH Terms
Aortic Aneurysm / ultrasonography*
Echocardiography, Transesophageal
Heart Atria / abnormalities,  ultrasonography
Middle Aged
Sinus of Valsalva / abnormalities*,  ultrasonography*
Vascular Fistula / ultrasonography*

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