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Ruptured aneurysm of the aortic sinus of Valsalva—difficulties in establishing the diagnosis

Published online by Cambridge University Press:  19 August 2008

Diana R. Holdright ,
Stephen Brecker  and
Mary Sheppard
Diana R. Holdright*
Affiliation:
From the National Heart & Lung Institute and the Royal Brompton National Heart & Lung Hospital, London
Stephen Brecker
Affiliation:
From the National Heart & Lung Institute and the Royal Brompton National Heart & Lung Hospital, London
Mary Sheppard
Affiliation:
From the National Heart & Lung Institute and the Royal Brompton National Heart & Lung Hospital, London
*
Dr. Diana R. Holdright, The Middlesex Hospital, Mortimer Street, London W1N 8AA, United Kingdom. Tel. 44-71-636-8333.
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Abstract

Aneurysms of the aortic sinus of Valsalva are rare and generally do not produce symptoms unless the aneurysm ruptures. When rupture occurs, the clinical findings depend to an extent on the site of the aneurysm and the cardiac chamber into which the aneurysm ruptures. We report a case of acute rupture of an aneurysm of the right aortic sinus, which was misdiagnosed as a ventricular septal defect. The clinical condition of the patient deteriorated rapidly, and transcatheter closure of the defect with an umbrella was associated with a fatal outcome.

Keywords

Aneurysmcoronary sinusrupture
Type
Clinicopathological Correlation
Information
Cardiology in the Young , Volume 5 , Issue 1 , January 1995 , pp. 75 - 77
Copyright
Copyright © Cambridge University Press 1995

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References

Tedjman, M, Bourdarias, JP, Farcot, JC.Aneurysms ofsinus of Valsalva two dimensional echocardiographic diagnosis and rupture into the right heart cavities. J Am Coll Cardiol 1988; 14: 1968–1972.Google Scholar
Oliveira, DBG, Dawkins, KD, Kay, PH, Paneth, M.Chordal rupture. 1: Aetiology and natural history. Br Heart J 1983; 50:312–316.CrossRefGoogle Scholar
Held, AC, Cole, PL, Lipton, B.Rupture of the interventricular septum complicating acute myocardial infarction: a multicenter analysis of clinical findings and outcome. Am Heart J 1988;13: 330–336.Google Scholar
Rey, C, Leroy, O, Marchand, X, Ducloux, G, Dupuis, C.L'anevrysme du sinus de Valsalva chez 'l enfanr et l'adulte jeune. Arch Mal Coeur 1986; 79: 668–673.Google Scholar