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Giant Ruptured Sinus of Valsalva Aneurysm

  • Saulo Victor Benevides Nunes
  • Anderson Dias Arruda
  • Yasmine Lailla Vasconcelos Rodrigues
  • Joaquim David Carneiro Neto
  • Camila Lopes do Amaral
Chapter

Abstract

Patient EAC, female, 33, with previous history of hypertension, presented dyspnea, palpitations, and edema of the lower limbs for about 15 years, with worsening for approximately 10 months and evolving to dyspnea at rest and paroxysmal nocturnal dyspnea in recent days. Cardiac auscultation was irregular heart rhythm with holosystolic murmur (5 +/6 +) continues along the right sternal border.

Laboratory evaluation of the patient showed no significant alterations. However, the electrocardiogram showed a type of arrhythmia incompatible with his age. Therefore, it was decided to do a larger investigation with other imaging tests.

Echocardiography shows a significant increase in cardiac chambers and significant degree of diffuse hypokinesia of the left ventricle FE (Teicholz): 25%. An oval image was observed with pendulous movement swinging the tricuspid valve with a continuity area near the aortic valve and aortic sinuses. This image was incompatible with common diseases of the tricuspid valve. The anatomical defect found invaded the inside of the right chambers, causing failure of tricuspid valve coaptation and a significant degree of failure. The patient underwent a surgical procedure and was followed up. The final outcome of the defect correction and the clinical outcome of the case are motivators for the study of cardiovascular surgery.

Bibliography

  1. 1.
    Goldberg MD, Krasnow MD. Sinus of valsalva aneurysms. Clin Cardiol. 1990;13:831–6.CrossRefGoogle Scholar
  2. 2.
    Bonatelli Filho L, Rampinelli A, Collaço J. Correção cirúrgica do aneurisma roto do seio de Valsalva: relato de dois casos. Rev Bras Cir Cardiovasc. 1999;14(4):344–7.CrossRefGoogle Scholar
  3. 3.
    Gopro AA, Coimbra LF, MVN DS. Fístula da artéria coronária: relato de três casos operados e revisão da literatura. Rev Bras Cir Cardiovasc. 2002;17(13):271–4.Google Scholar
  4. 4.
    Abe T, Komatzu S. Surgical repair and long-term results in ruptured sinus of Valsalva aneurysm. Ann Thorac Surg. 1998;46:520–5.CrossRefGoogle Scholar
  5. 5.
    Fiarresga A, Branco LM, Da Silva MN, Feliciano J, Pelicano N, Fernandes RM, Fragata J, Quininha J. Rupture of a congenital aneurysm of the non-coronary sinus of Valsalva into the right atrium. Rev Port Cardiol. 2006;25(1):79–85.PubMedGoogle Scholar
  6. 6.
    Dias RR, Camurça FD, Leite Filho OA, Stolf NAG. Right sinus of Valsalva aneurysm causing extrinsic coronary compression. Arq Bras Cardiol. 2009;92(6):74–7.CrossRefGoogle Scholar
  7. 7.
    Hamid IA, Jothi M, Rajan S, Monro JL, Cherian KM. Transaortic repair of ruptured aneurysm of sinus of Valsalva – fifteen-year experience. J Thorac Cardiovasc Surg. 1994;107(6):1464–8.PubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Saulo Victor Benevides Nunes
    • 1
  • Anderson Dias Arruda
    • 1
  • Yasmine Lailla Vasconcelos Rodrigues
    • 1
  • Joaquim David Carneiro Neto
    • 1
  • Camila Lopes do Amaral
    • 1
  1. 1.Federal University of Ceará (UFC)SobralBrazil

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