Diagnosis and management of a rare case of ruptured sinus of Valsalva into the right atrium

Main Article Content

Charan Reddy KV*
Bhavesh Vajifdar
Pavan Kumar
Aniket Vazirani

Abstract

Sinus of Valsalva Aneurysm (SOVA) can arise from any of the three aortic sinuses. Aneurysm arising from the right coronary sinus, rupturing into the right atrium is extremely uncommon. SOVA’s are seen more in males than females and in Asians than other ethnic groups. Majority of the cases are diagnosed during routine echocardiography and conventional angiography. However, with the availability of other advanced imaging techniques, such as cardiac Computed Tomography (CT) and Magnetic Resonance (MR) has not only improved the diagnosis but also its treatment. We report the case of a SOVA affecting the right coronary sinus and its subsequent management.

Downloads

Download data is not yet available.

Article Details

KV, C. R., Vajifdar, B., Kumar, P., & Vazirani, A. (2020). Diagnosis and management of a rare case of ruptured sinus of Valsalva into the right atrium. Journal of Cardiovascular Medicine and Cardiology, 7(1), 033–035. https://doi.org/10.17352/2455-2976.000108
Case Reports

Copyright (c) 2020 Charan Reddy KV, et al.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Fazio G, Zito R, Dioco DD, Mussagy C, Loredana S, et al. (2006) Rupture of a left sinus of Valsalva aneurysm into the pulmonary artery. European J Echocardiography 7: 230-232. Link: http://bit.ly/2P2uYrC

Weinreich M, Yu PJ, Trost B (2015) Sinus of Valsalva Aneurysms: Review of the Literature and an Update on Management. Clin Cardiol 38: 185-189. Link: http://bit.ly/2V3bx5R

Jain A, Achuthan G (2019 ) Rupture of Sinus of Valsalva Aneurysm into Inter-ventricular Septum: Role of Cardiac CT. Cureus 11: e5589. Link: http://bit.ly/2V619dA

Mayer ED, Ruffmann K, Saggau W (1986) Ruptured aneurysms of the sinus of Valsalva. Ann Thorac Surg 42: 81-85. Link: http://bit.ly/3bQ6RpW

Bricker AO, Avutu B, Mohammed TL (2010) Valsalva sinus aneurysms: findings at CT and MR imaging. Radiographics 30: 99-110. Link: http://bit.ly/37AL3et

Thurman J (1840) On aneurisms, and especially spontaneous varicose aneurisms of the ascending aorta, and sinuses of Valsalva: with cases. Med Chir Tr 23: 323–384. Link: http://bit.ly/2HxYhhL

Edwards JE, Burchell HB (1957) The pathological anatomy of deficiencies between the aortic root and the heart, including aortic sinus aneurysms. Thorax 12: 125-139. Link: http://bit.ly/2SW3eWN

Zanjani KS, Niwa K (2013) Aortic dilatation and aortopathy in congenital heart diseases. J Cardiol 61: 16-21. Link: http://bit.ly/3bIzVj0

Hoey ET, Kanagasingam A, Sivananthan MU (2010) Sinus of valsalva aneurysms: Assessment with cardiovascular MRI. AJR Am J Roentgenol 194: 495-504. Link: http://bit.ly/2SPEGyw

Csu SH, Hung CR, How SS, Chang H, Wang SS, et al (1990) Ruptured aneurysms of the sinus of Valsalva in oriental patients. J Thorac Cardiovasc Surg 99: 288-298. Link: http://bit.ly/2VeXp9V

Cullen S, Somerville J, Redington A (1994) Transcatheter closure of a ruptured aneurysm of the sinus of Valsalva. Br Heart J 71: 479-480. Link: http://bit.ly/2vQ32jR

Parashar NK, Bhasin D, Marotrao PSK (2017) Ruptured sinus of Valsalva aneurysm: Clinical case presentation and management. Curriculum in Cardiology-case discussion. 3: 109-114. Link: http://bit.ly/2wrWfxbs