Ruptured sinus of Valsalva aneurysm in adult age; percutaneous closure with occluder device. Report of three successful cases. Ruptura de aneurisma del seno. Ruptura espontánea de un aneurisma del seno de Valsalva a la aurícula derecha en una paciente con aneurisma del septum interatrial. Pedro López– Velarde. Los aneurismas del seno de Valsalva (ASV) son defectos raros que representan el % de todas las cardiopatías congénitas. Son más.
|Published (Last):||6 February 2017|
|PDF File Size:||20.41 Mb|
|ePub File Size:||18.77 Mb|
|Price:||Free* [*Free Regsitration Required]|
He was referred to our center with diagnosis of aortic valve disease and ventricular septal defect. The ECG can be vwlsalva. Atrial septal aneurysm in adult patient. The place of rupture was shown with color flow imaging, revealing a unidirectional continuous mosaic jet from the aorta to the right heart chamber, Figure 1A, 1B.
It occurs in most cases between the third and fourth decades of life. Un hallazgo interesante fue la presencia de un aneurisma del septum interauricular asociado. Acquired aneurysm of sinus of Valsalva can develop as the valsava of traumatic injury, 2 endocarditis, 3 syphilis, 4 Behcet’s disease 5 or Marfan’s syndrome. Inasmuch this technique is relatively new, it is necessary to observe and follow treated patients over the time to document any complication. The electrocardiogram showed tachycardia and incomplete right bundle branch block.
Traditionally the repair was surgical, untilwhen Cullen performed the first percutaneous closure using a Rashkind umbrella device. However, that eventuality has not happened in none of our patients, after three year of follow-up.
Aneurisma del seno de Valsalva disecando hacia el septo interventricular en una paciente embarazada
An unruptured aneurysm of sinus of Valsalva was diagnosed in childhood. Replacement of the valve was not considered necessary in the absence of aortic valve dysfunction. The diagnosis of ruptured aneurysm of the sinus of Valsalva was based on echocardiography. Qneurisma aneurysm of sinus of Valsalva in oriental patients. In the early postoperative period, the patient developed variable degrees of atrioventricular block, and a definite VVI pacemaker was implanted.
X-ray chest film showed grade I cardiomegaly, and pulmonary venocapillary hypertension. A ten year rev’ew of ruptured sinus of Valsalva: The pathology was confirmed by angiotomography. Regarding the atrial septal aneurysm, 1,15 this is an infrequent finding in adult patients.
Later coils and other devices were used as occluders.
Regarding complications, the most frequent occurrence is rupture. InSakakibara and Konno, elaborated the classification which is valid still today. Report of three successful cases. Rupture into the left atrium, left ventricle and dynamic coronary constriction. Percutaneous interventional closure of large arteriovenous fistulae with the Amplatzer duct occluder.
Transcatheter closure of a ruptured aneurysm of the sinus of Valsalva.
Aneurysms of the sinus of Valsalva: Surgical treatment of ruptured aneurysms of the sinus of Senp. Isolated aneurysm of the left sinus of Valsalva. Br Heart J, 17pp.
There was a problem providing the content you requested
Abstract Aneurysms of the sinus of Valsalva SV and the atrial septum are a rare association. Valsalva sinus aneurysms VSA are thin-walled outpouchings due to destruction valaalva weakness of the middle layer of the aorta at the origin of the sigmoid valves, with discontinuity between this layer and the aortic valve fibrous annulus.
Ann Thorac Surg, 46pp. For example, our patients were discharged hours after the intervention.
Oximetries and pressure in this cavity were aaneurisma. Laboratory tests searching for connective tissue disease were negative. Resection of the aneurysm’s coat was made and replaced with a 1.
We present three cases of VSA, comprising those of two male patients aged 19 and 25 years old and a third pertaining to a woman aged 32 years oldall of them without cardiovascular risk factors. Transcatheter occlusion of ruptured sinus of Valsalva sseno No hay muchos casos como estos en la literatura.
Cathet Cardiovasc Diagn,pp.
The diagnosis is confirmed by imaging studies including echocardiography and tomography that in our patients allowed the identification of the affected sinus and the cardiac chamber in which the VSA broke, as well as the measure of the size of the defect, with high correlation with angiographic data. Percutaneous approach was also decided, and the procedure was done successfully.
The electrocardiogram showed left ventricular enlargement Figure 2. Angiotomography confirmed the lesion Figure 4. J Thorac Cardiovasc Surg ; In addition, an associated atrial septal aneurysm was found.
Ruptured aneurysm of the sinus of Valsalva in oriental patients. We describe 3 cases seen of our department, diagnosed with rupture VSA, who underwent percutaneous closure with occlusion device.
The aortotomy showed the sinus of Valsalva aneurysm’s origin in the right coronary sinus. Sinus of Valsalva; Atrial septal aneurysm; Spontaneous rupture; Association of two isolated malformations; Echocardiography; Aortography; Mexico. We consider that the presence valsaova this block was secondary to the inflammatory process of the surgery. The subsequent thinning of the middle layer of the aorta, leads to progressive dilatation over time.
However, it has been found also in patients with normal atrial pressure, 15 suggesting a primary malformation. Eur J Cardiothorac Surg, 6aneursma.