Ruptured sinus of a Valsalva aneurysm associated with autosomal-dominant polycystic kidney disease in an elderly patient: Report of a case
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Abstract
We report herein the case of a 71-year-old woman with autosomal-dominant polycystic kidney disease (ADPKD), who was referred to our hospital for investigation of facial edema. Echocardiography demonstrated a large aneurysm arising from the non-coronary sinus of Valsalva, with a left to right shunt and jets of blood passing from the aneurysm toward the septal leaflet of the tricuspid valve. Surgical treatment was successfully carried out by resecting the aneurysmal wall and performing a patch closure of the orifice. It is well known that ADPKD predisposes patients to cardiovascular disease, and this case report serves to demonstrate that when a patient with ADPKD presents with progressive heart failure, the possibility of a ruptured sinus of a Valsalva aneurysm must be considered.
Key words
Rupture Sinus of Valsalva Aneurysm Autosomal-dominant polycystic kidney diseasePreview
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References
- 1.Spurung RF, Cataldo RM, Gregory MC, Marks ML, Bull DA, Litwin SE (1996) Ruptured sinus of Valsalva aneurysm in a patient with autosomal dominant polycystic kidney disease. West J Med 165:379–382Google Scholar
- 2.Kimberling WJ (1990) An estimate of the proportion of families with autosomal dominant polycystic kidney disease unlinked to chromosome 16. Kidney Int 37:249Google Scholar
- 3.Fick GM, Gabow PA (1994) Natural history of autosomal dominant polycystic kidney disease. Annu Rev Med 45:23–29PubMedCrossRefGoogle Scholar
- 4.Hossack KF, Leddy CL, Johnson AM, Schrier RW, Gabow PA (1988) Echocardiographic findings in autosomal dominant polycystic kidney disease. N Engl J Med 319:907–912PubMedCrossRefGoogle Scholar
- 5.Henze A, Huttunen H, Bjork VO (1983) Ruptured sinus of Valsalva aneurysm. Scand J Thorac Cardiovasc Surg 17:249–253PubMedGoogle Scholar
- 6.Hamid IA, Jothi M, Rajan S, Nonro JL, Cherian KM (1994) Transaortic repair of ruptured aneurysm of sinus of Valsalva. J Thorac Cardiovasc Surg 107:1464–1468PubMedGoogle Scholar
- 7.7. van Son JAM, Danielson GK, Schaff HV, Orszulak TA, Edwards WD, Seward JB (1994) Long-term outcome of surgical repair of ruptured sinus of Valsalva aneurysm. Circulation 90 (part 2):II-20–II-29Google Scholar
- 8.Kallis P, de Belder M, Smith EEJ (1993) Rupture of a sinus of Valsalva aneurysm through the tricuspid septal leaflet. Ann Thorac Surg 55:1247–1248PubMedCrossRefGoogle Scholar