Korean Circulation Journal

  • 제43권11호
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  • Pages.770-773
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  • 2013
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  • 1738-5520(pISSN)
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  • 1738-5555(eISSN)
대한심장학회 (The Korean Society of Cardiology)
권호 표지
DOI QR코드

DOI QR Code

A Case of Right Sinus of Valsalva Rupture with Dissection into Interventricular Septum Causing Left Ventricular Outflow Tract Obstruction

  • Lee, Dong Hyun (Department of Cardiology, Dong-A University College of Medicine) ;
  • Kang, Eun-Ju (Department of Radiology, Dong-A University College of Medicine) ;
  • Park, Tae-Ho (Department of Cardiology, Dong-A University College of Medicine) ;
  • Woo, Jong Soo (Department of Thoracic and Cardiovascular Surgery, Dong-A University College of Medicine) ;
  • Hong, Sook Hee (Department of Pathology, Dong-A University College of Medicine) ;
  • Kim, Young-Dae (Department of Cardiology, Dong-A University College of Medicine)
  • 투고 : 2013.03.08
  • 심사 : 2013.07.17
  • 발행 : 2013.11.30
⟨ 이전 논문 다음 논문 ⟩

초록

Sinus of Valsalva aneurysm (SVA) is an uncommon anomaly of the aorta. Rupture of SVA often precipitates dramatic clinical complications, including heart failures. Right SVAs are the most common type, and when they rupture, they usually rupture into the right ventricle or right atrium. Rupture into left ventricle or interventricular septum is rare. Herein, we report a case of right SVA rupture with dissection into interventricular septum, which produced significant left ventricular outflow tract obstruction and aortic regurgitation. The case was successfully treated by surgical operation.

키워드

참고문헌

  1. Bricker AO, Avutu B, Mohammed TL, et al. Valsalva sinus aneurysms: findings at CT and MR imaging. Radiographics 2010;30:99-110. https://doi.org/10.1148/rg.301095719
  2. Pepper C, Munsch C, Sivananthan UM, Pye M. Unruptured aneurysm of the left sinus of Valsalva extending into the left ventricular outflow tract: presentation and imaging. Heart 1998;80:190-3. https://doi.org/10.1136/hrt.80.2.190
  3. Avci A, Akcakoyun M, Alizada E, et al. Severe right ventricular outflow obstruction by right sinus of valsalva aneurysm. Echocardiography 2010;27:341-3. https://doi.org/10.1111/j.1540-8175.2009.01088.x
  4. Feldman DN, Roman MJ. Aneurysms of the sinuses of Valsalva. Cardiology 2006;106:73-81. https://doi.org/10.1159/000092635
  5. Taher T, Singal R, Sonnenberg B, Ross D, Graham M. Images in cardiovascular medicine. Sinus of valsalva rupture with dissection into the interventricular septum: diagnosis by echocardiography and magnetic resonance imaging. Circulation 2005;111:e101-2. https://doi.org/10.1161/01.CIR.0000157044.63554.02
  6. Nunes Mdo C, Gelape CL, Barbosa FB, et al. Sinus of valsalva aneurysm with dissection into the interventricular septum. Echocardiography 2008;25:102-4.
  7. Das KM, El-Menyar AA, Arafa SE, Suwaidi JA. Intracardiac shunting of ruptured Sinus of Valsalva aneurysm in a patient presented with acute myocardial infarction: role of 64-slice MDCT. Int J Cardiovasc Imaging 2006;22:797-802. https://doi.org/10.1007/s10554-006-9090-y
  8. Park KH, Shin DG, Son CW, et al. Aneurysm of sinus of valsalva dissecting into the interventricular septum after aortic valve replacement: diagnosis by echocardiography and magnetic resonance imaging and treatment with surgical sealant. Korean Circ J 2011;41:464-8. https://doi.org/10.4070/kcj.2011.41.8.464

피인용 문헌

  1. Sinus of Valsalva Aneurysms: Review of the Literature and an Update on Management : Sinus of Valsalva aneurysm vol.38, pp.3, 2013, https://doi.org/10.1002/clc.22359
  2. Ruptured non-coronary sinus of Valsalva aneurysm into the right atrium in 44-year-old patient vol.60, pp.1, 2013, https://doi.org/10.1016/j.crvasa.2017.01.007