1 NLM CIT. ID: 97408579 TITLE: Intraoperative usefulness of transesophageal echocardiography: detection of unsuspected rupture of an aneurysm of the sinus of Valsalva. AUTHOR: Lobato EB; Gravenstein N; Malias MA; Greene MA ADDRESS: Department of Anesthesiology, University of Florida College of Medicine, Gainsville 32610-0254, USA. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: J Cardiothorac Vasc Anesth 1997 Aug;11(5):619-21 2 NLM CIT. ID: 97354910 TITLE: [Surgically treated unruptured sinus of Valsalva aneurysm: a case report] AUTHOR: Fukui T; Doi Y; Chikamori T; Seo H; Hitomi N Matsumura Y; Kitaoka H; Takada J ADDRESS: Department of Medicine and Geriatrics, Kochi Medical School. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn ABSTRACT: A 73-year-old man was admitted because of progressive dyspnea. Echocardiography revealed a markedly dilated right sinus of Valsalva and severe aortic regurgitation. Coaptation loss of the aortic valve leaflets was thought to be the cause of regurgitation and congestive heart failure, a rare complication of the unruptured sinus of Valsalva aneurysm. Surgical treatment should be considered to prevent life-threatening heart failure and rupture of the aneurysm even in patients without overt heart failure. SOURCE: J Cardiol 1997;29 Suppl 2:67-71 3 NLM CIT. ID: 97323851 TITLE: [The echocardiographic diagnosis of a rare complication of an aneurysm of the sinus of Valsalva] AUTHOR: Cabral S; Pimenta A; Gomes MR; Gomes L; Torres S Pereira LS ADDRESS: Servico de Cardiologia, Hospital Geral de Santo Antonio, Porto. PUBLICATION TYPES: JOURNAL ARTICLE REVIEW REVIEW OF REPORTED CASES LANGUAGE: Por ABSTRACT: We report the case of a patient with complete heart block caused by extension of a congenital aneurysm of the sinus of Valsalva into the upper interventricular septum, which was diagnosed by transthoracic and transesophageal echocardiography. We emphasize the rarity of this pathology and the value of transesophageal echocardiography in its assessment, providing a complete anatomicofunctional characterization and allowing surgical repair without previous cardiac catheterization. SOURCE: Rev Port Cardiol 1997 Apr;16(4):393-6, 352 4 NLM CIT. ID: 97350213 TITLE: Repair of a ruptured sinus of Valsalva aneurysm. Associated with annuloaortic ectasia and coarctation of the aorta in a patient with Marfan syndrome. AUTHOR: Tesler UF; Lisanti P; Fiorilli R ADDRESS: Division of Cardiac Surgery, Ospedale San Carlo, Potenza, Italy. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: We report the case of a 16-year-old boy with Marfan syndrome who presented in severe congestive heart failure secondary to rupture of an aneurysm of the sinus of Valsalva into the right atrium, a condition that was aggravated by coarctation of the aorta. The patient also had a large aneurysm of the ascending aorta with the characteristics of annuloaortic ectasia. The patient underwent successful surgical correction and is asymptomatic 3 years after the repair. SOURCE: Tex Heart Inst J 1997;24(2):134-8 5 NLM CIT. ID: 97326039 TITLE: Aortic insufficiency and stenosis in unruptured aneurysm of sinus of Valsalva [letter] AUTHOR: Yuan SM PUBLICATION TYPES: LETTER LANGUAGE: Eng REGISTRY NUMBERS: 0 (Fibrinolytic Agents) SOURCE: Int J Cardiol 1997 May 23;59(3):321-2 6 NLM CIT. ID: 97276375 TITLE: Huge aneurysm of the sinus of Valsalva following infective endocarditis in Behcet's disease. AUTHOR: Okada K; Sasako Y; Nakano K; Isobe F; Kosakai Y Kitoh Y; Eishi K ADDRESS: Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A huge aneurysm of the sinus of Valsalva with conduction disturbance as a consequence of infective endocarditis in Behcet's disease is reported. The aneurysm extended not only into the ventricular septum but also to the right atrium and ventricle, with a complicated cavity formation. We speculate that complete atrioventricular block occurred due to an enlargement of the aneurysm into the ventricular septum, leading to a direct conduction system injury. Preoperative echocardiography and aortography were insufficient to recognize the extent of the lesion; subsequent operative examination revealed the true size. At operation, it is important to understand the lesion dimensions fully in order that appropriate surgical procedures be performed. SOURCE: J Heart Valve Dis 1997 Mar;6(2):179-80 7 NLM CIT. ID: 97199765 TITLE: [Aneurysm of the sinus of Valsalva] AUTHOR: Sugama M ADDRESS: Department of Cardiovascular Surgery, Makiminato Central Hospital. PUBLICATION TYPES: JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL LANGUAGE: Jpn SOURCE: Ryoikibetsu Shokogun Shirizu 1996;(13):323-5 8 NLM CIT. ID: 97189686 TITLE: Ruptured aneurysm of the sinus of Valsalva. AUTHOR: Islam MN; Zafar A; Bashar MA; Khan MN; Alimuzzaman M ADDRESS: Institute of Postgraduate Medicine & Research, Dhaka. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: The objective of the present study was to assess the value of imaging techniques in the diagnosis of ruptured aneurysm of sinus of Valsalva (RASV). 38 patients were included in the study. 30 were male and 8 female. Their age ranged from 7 to 55 years (mean 25.8 years). Echocardiographic and doppler studies were done in all cases and 20 patients underwent catheterization and angiography. Two patients were asymptomatic, 20 (53%) had acute onset of symptoms and in the remaining 16 (42%) patients symptoms developed gradually. Twenty two (58%) patients were in NYHA functional class III or IV when first seen. Predominant symptoms were dyspnea (79%), palpitation (55%) and chest pain (52%). A continuous machinery murmur was detected in all the patients with associated thrill in 34 patients. Right coronary sinus (RCS) was the most common sinus involved (89%) followed by the noncoronary sinus (NCS) which was involved in 11% of patients. None of the patients in our series had aneurysm of the left coronary sinus. Twenty eight of the 34 RCS aneurysms ruptured into the right ventricular outflow tract (RVOT), 4 into right ventricular cavity (RVC), one into right atrium (RA) and one dissected into the ventricular septum and subsequently ruptured into the left ventricle. Of the 4 NCS aneurysms, 2 ruptured into RVC, one into RA and one into both the RA and RVC. Associated ventricular septal defect (VSD) was found in 10 (26%) patients and all of these patients had RCS aneurysm that ruptured into the RVOT. Aortic regurgitation (AR) was detected in 16 (42%) cases. Discrete subaortic stenosis was detected in one patient who also had associated VSD and AR. Vegetation of the aortic valve was detected in one patient who had RCS aneurysm. Twelve patients (11 male and one female) underwent surgical correction, 10 with and 2 without prior catheterization. Localization of the involved sinus, site of rupture and associated cardiac lesions by echocardiography and doppler study were found accurate at surgery and/or angiography in 22 cases of our series. Imaging techniques, thus appeared to be reliable tools for the diagnosis of RASV. SOURCE: Bangladesh Med Res Counc Bull 1996 Apr;22(1):19-26 9 NLM CIT. ID: 97154020 TITLE: Ruptured sinus of Valsalva aneurysm in a patient with autosomal dominant polycystic kidney disease. AUTHOR: Sprung RF; Litwin SE; Bull DA; Marks ML; Gregory MC Cataldo RM ADDRESS: Division of Cardiology, University of Utah Medical Center, Salt Lake City 84132, USA. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: West J Med 1996 Dec;165(6):379-82 10 NLM CIT. ID: 97179899 TITLE: [A case of extracardiac noncoronary sinus Valsalva aneurysm associated with aortic regugitation] AUTHOR: Kochi K; Kanzaki Y; Nakamura T; Komiya T; Ishii O Yamazaki K ADDRESS: Heart Institute, Kurashiki Central Hospital, Japan. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn ABSTRACT: A case of extracardiac noncoronary sinus Valsalva aneurysm was reported. A 11-year-old male with history of mild AR was admitted to the hospital due to severe AR. Echocardiography revealed that the severe AR and an aneurysm in the posterior part of the ascending aorta. Angiography revealed that the origin of the aneurysm was noncoronary sinus. Operative findings showed that the aneurysm sized 23 mm by 25 mm was an extracardiac type which grew posteroinferiorily at the left side of noncoronary sinus and that the dilation. Neither aortic valve nor the aortic route showed degenerative change. The ptosis of the valvular ring due to aneurysmal dilation of the noncoronary sinus caused AR. Then, valve repair composed by commissuroplasty and commissural suspension was carried out. And intraluminal patch closure technique in which the longitudinal diameter of patch was half of that of the aneurysm was effective on suspension of the valvular ring. Postoperative echocardiography showed decreasing of AR. SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1997 Jan;45(1):84-7 11 NLM CIT. ID: 97117375 TITLE: Sinus of Valsalva aneurysm presenting as myocardial infarction during dobutamine stress test. AUTHOR: Ferreira AC; Bolooki H; Mayor M; de Marchena E ADDRESS: Department of Medicine, University of Miami School of Medicine, FL 33136, USA. PUBLICATION TYPES: JOURNAL ARTICLE REVIEW REVIEW OF REPORTED CASES LANGUAGE: Eng REGISTRY NUMBERS: 34368-04-2 (Dobutamine) ABSTRACT: We report a patient with an undiagnosed left sinus of Valsalva aneurysm who, during a dobutamine stress test, had myocardial injury and subsequent infarction. Cardiac catheterization revealed an expanding sinus of valsalva aneurysm compressing the circumflex coronary artery. The clinical manifestations of sinus of Valsalva aneurysm are discussed. This report heightens awareness of the possible effects of the pharmacologic stress test. SOURCE: Cathet Cardiovasc Diagn 1996 Dec;39(4):400-2 12 NLM CIT. ID: 97145234 TITLE: [A case report of an infundibular ventricular septal defect with severe right ventricular outflow tract obstruction due to aneurysm of the aortic sinus of valsalva] AUTHOR: Shuntoh K; Yamaguchi A; Miki T; Noji S; Kimura S Kitamura N ADDRESS: Department of Cardiovascular Surgery, Osaka National Hospital, Japan. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn ABSTRACT: This paper describes the case of a 46-year-old female. Upon contacting infective endocarditis at the age of 39 years, she was diagnosed with a ventricular septal defect (VSD). Because dyspnea gradually worsened, she was later hospitalized. Cardiac catheterization was performed and angiograms were taken, revealing an infundibular VSD accompanied by severe right ventricular outflow tract obstruction (RVOTO) due to aneurysm of aortic sinus of valsalva and to mild aortic regurgitation caused by prolapsing aortic valve. The operative procedure consisted of the closure of the aortic sinus fistula by continuous suture after excision of the aneurysmal sac and patch closure of the VSD without treatment of the prolapsing aortic valve. After the operation, RVOTO improved and aortic regurgitation disappeared. The patient was discharged and has since been well. SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1996 Dec;44(12):2183-6 13 NLM CIT. ID: 97098779 TITLE: Spontaneous echocardiographic contrast within an unruptured sinus of Valsalva aneurysm: a potential embolic source diagnosed by transesophageal echocardiography. AUTHOR: Steinberg E; Kronzon I; Bosco J; Wun H ADDRESS: Department of Medicine, New York University Medical Center, NY, USA. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A 75-year-old male patient had an unexplained transient ischemic attack. Transesophageal echocardiography revealed a large, unruptured Sinus of Valsalva aneurysm which contained spontaneous echo contrast. This finding represents a potential source of embolism. SOURCE: J Am Soc Echocardiogr 1996 Nov-Dec;9(6):880-1 14 NLM CIT. ID: 97169177 TITLE: Echocardiography and magnetic resonance imaging of sinus of Valsalva aneurysm with rupture into the ventricle. AUTHOR: Kulan K; Zengin M; Komsuoglu B; Tuncer C; Kulan C ADDRESS: Department of Cardiology, Medical School, Black Sea Technical University, Trabzon, Turkey. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A 53 year-old man with rupture of sinus of Valsalva aneurysm into the right ventricle diagnosed by two dimensional echocardiography (2DE), magnetic resonance imaging (MRI), and catheterisation study is reported in this paper. Despite the fact that its incidence is low, early diagnosis is very important in this illness because of the possibility of complete cure with surgery. In this study it was shown that MRI as well as 2DE is an excellent diagnostic method for this illness. The diagnosis was also confirmed with surgery in this patient. SOURCE: J Cardiovasc Surg (Torino) 1996 Dec;37(6):639-41 15 NLM CIT. ID: 97039553 TITLE: Unruptured congenital aneurysm of the right sinus of Valsalva. Dissecting into the interventricular septum. AUTHOR: Kalimanovska-Ostric D; Avramovic D; Ostric V Krotin M; Petrovic P; Ostojic M ADDRESS: Institute of Cardiovascular Disease, Clinical Centre of Serbia, Belgrade, Yugoslavia. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: We report the case of a congenital aneurysm of the right sinus of Valsalva dissecting into the interventricular septum in a 21-year-old man. This condition was diagnosed by echocardiography and magnetic resonance imaging. In particular, transthoracic and transesophageal color-coded Doppler echocardiography showed that there was no communication between the aneurysm and the surrounding heart chambers. The findings were confirmed by angiography. Heart enlargement and other symptoms and signs of heart failure indicated surgical repair of the lesion. Early postoperative dehiscence of the sutured orifice was accurately diagnosed with Doppler echocardiography and angiography. Reintervention was successful in filling and sealing the septal cavity. This case confirms the reported difficulties in the surgical correction of aneurysms of sinus of Valsalva lying within the interventricular septum. SOURCE: Tex Heart Inst J 1996;23(3):217-21 16 NLM CIT. ID: 97047943 TITLE: Fatal myocardial ischemia caused by compression of the left coronary system by a large left sinus of Valsalva aneurysm. AUTHOR: Bashour TT; Baladi N; Mason DT; Yap A; Chen F ADDRESS: The San Francisco Heart Institute at Seton Medical Center, Calif. 55417, USA. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am Heart J 1996 Nov;132(5):1050-2 17 NLM CIT. ID: 96378340 TITLE: An unusual case of ruptured aneurysm of sinus of Valsalva. AUTHOR: Lim ST; Ding ZP; Lau KW ADDRESS: Department of Cardiology, Singapore General Hospital, Singapore Heart Centre, Singapore. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Ruptured congenital aneurysms of the noncoronary aortic sinus shunting into both the right atrium and right ventricle are extremely rare. We present here such an anomaly in a 40-year-old man, focusing on the diagnostic reliability of echocardiography and the unusual angiographic features of the aortic sinus aneurysm in this patient. SOURCE: Singapore Med J 1996 Feb;37(1):115-6 18 NLM CIT. ID: 96304099 TITLE: [A case of ruptured sinus of Valsalva aneurysm with bicuspid aortic valve] AUTHOR: Ohkado A; Shiina Y; Hirota J; Akiyama K ADDRESS: Department of Cardiovascular Surgery, Iwaki Kyoritsu General Hospital, Japan. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn ABSTRACT: A 40-year-old male underwent operation with a suspected diagnosis of a ruptured of Valsalva aneurysm and a bicuspid aortic valve. The aneurysm with an apical rupture protruded into the membranous septum, between the leaflets of the tricuspid valve. The aortic valve was bicuspid, with the aneurysm originating from the right sinus of Valsalva. We presume that the bicuspid aortic valve tends to cause the sinus of Valsalva aneurysm in point that each coronary sinus is given excessive pressure compared with that in the normal aortic valve. Rarity of the combined cases is possibly because the bicuspid aortic valve is frequent while the sinus of Valsalva aneurysm is rare in Western countries and vice versa in Japan. SOURCE: Kyobu Geka 1996 Jul;49(7):567-9 19 NLM CIT. ID: 96403794 TITLE: Unruptured sinus of Valsalva aneurysm with right ventricular outflow tract obstruction associated with ventricular septal defect. AUTHOR: Liang CD; Kao CL; Chang JP ADDRESS: Department of Pediatrics, Chang Gung Memorial Hospital, Kaohsiung, Taiwan, Republic of China. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: We describe an aneurysm originating from the right sinus of Valsalva, with right ventricular outflow tract obstruction associated with ventricular septal defect, in a 9-year-old boy. Diagnosis was made by echocardiography and cardiac catheterization. Successful surgical repair of ventricular septal defect and aortic valvuloplasty resulted in symptomatic improvement. SOURCE: Cathet Cardiovasc Diagn 1996 Feb;37(2):158-61 20 NLM CIT. ID: 96439816 TITLE: Unruptured aneurysm of the sinus of Valsalva. AUTHOR: Malcolm I ADDRESS: Cardiology Division, Royal Victoria Hospital, McGill University, Montreal, Quebec. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng REGISTRY NUMBERS: 20830-75-5 (Digoxin) ABSTRACT: A 50-year-old man with 'presyncope' is presented. He was found to have an aneurysm of the right coronary sinus of Valsalva and an aneurysm of the noncoronary sinus. Neither aneurysm had ruptured. It is postulated that the patient's symptoms were related to partial obstruction of the right ventricle. Other potential complications of an unruptured aneurysm of the sinus of Valsalva are discussed. SOURCE: Can J Cardiol 1996 Sep;12(9):783-5 21 NLM CIT. ID: 96254253 TITLE: [Rupture of the aneurysm of the sinus valsalva: thirteen years after the initial diagnosis] AUTHOR: Shida T; Sakata M; Nohara H; Wakita N ADDRESS: Department of Cardiovascular Surgery, Kobe Rohsai Hospital, Japan. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn ABSTRACT: We report a case of an unruptured aneurysm of the sinus Valsalva (URASV) which was followed thirteen years without surgery. A 47-year-old female had a heart murmur detected at age 34 during pregnancy. Though an URASV was diagnosed, because the aneurysm was less than 1 cm in size, no surgery was advised at that time. Thirteen years later, she gradually noticed of increased heart beats and also dyspnea on exertion. Echocardiogram showed an aneurysm of the sinus Valsalva ruptured to the RV cavity. In June 1994, resection of the aneurysm was performed. One year later, the patient was asymptomatic. This may be the second longest long-term follow-up report of the patient with an unruptured aneurysm of the sinus Valsalva. SOURCE: Kyobu Geka 1996 Jun;49(6):479-81 22 NLM CIT. ID: 96307975 TITLE: [Giant isolated extracadiac unruptured aneurysm of the right coronary sinus of valsalva--a case report] AUTHOR: Mizushima T; Nakano S; Satou H; Shimazaki Y Takahashi T ADDRESS: First Department of Surgery, Osaka University, Suita, Japan. PUBLICATION TYPES: JOURNAL ARTICLE REVIEW REVIEW OF REPORTED CASES LANGUAGE: Jpn ABSTRACT: A giant isolated extracardiac unruptured aneurysm of the right coronary sinus of Valsalva was detected incidentally in a 24-year-old man with clinical findings of Ehlers-Danlos syndrome. The right coronary artery was occluded at its ostial resion. Surgical correction was performed by obliterating the orifice of the aneurysm with a Dacron patch. Microscopic examination of the diseased aortic wall revealed absence of medial elastic fibers. Collective review of 19 reported similar cases revealed that reports concerning unruptured, isolated giant sinus of Valsalva aneurysm were rare, especially in young patients, and that the aneurysm of this patient was the largest. SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1996 Feb;44(2):202-7 23 NLM CIT. ID: 96326571 TITLE: Aneurysm of the left sinus of Valsalva. An unusual source of cerebral embolism. AUTHOR: Stollberger C; Slany J; Prainer C; Fenninger C Seitelberger R ADDRESS: Zweite medizinische, Abteilung der Krankenanstalt Rudolfstiftung, Vienna, Austria. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: BACKGROUND: Aneurysm of the ascending aorta is rarely reported as the source of emboli. We report a patient with a minor stroke in whom a saccular aneurysm of the left sinus of Valsalva was diagnosed as the presumed source of cerebral embolism. CASE DESCRIPTION: A 49-year-old right-handed woman presented 10 days after sudden onset of right-sided hemiparesis. Her history was uneventful apart from an acute inflammation of the subcutaneous tissue in the right leg 20 years earlier. A diastolic murmur was heard best over the third left intercostal space. Results of duplex ultrasound investigation of the cerebral vessels, chest x-ray, and electrocardiography and biochemical and hematological variables were normal. CT of the brain showed a small hypodense area in the left frontal region. Transthoracic and transesophageal echocardiography detected moderate aortic regurgitation and a saccular aneurysm originating from the left sinus of Valsalva. The aneurysm had calcified walls and contained thrombotic material. Surgical closure of the aneurysm with a pericardial patch was performed to prevent recurrent embolism and rupture. Coaptation of the aortic valves was achieved, and no residual aortic regurgitation could be detected. CONCLUSIONS: We conclude that an unruptured sinus of Valsalva aneurysm should be included in the list of sources of embolism. Transthoracic echocardiography establishes the diagnosis. Transesophageal echocardiography provides additional information about the origin and size of the aneurysm and presence of thrombotic material. Surgical closure of the aneurysm prevents rupture and recurrent embolism and possibly corrects aortic regurgitation. SOURCE: Stroke 1996 Aug;27(8):1424-6 24 NLM CIT. ID: 96294639 TITLE: Chest case of the day. Rupture of a sinus of Valsalva aneurysm into the right ventricle. AUTHOR: Dee PM ADDRESS: Department of Radiology, University of Virginia, Charlottesville 22908, USA. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: AJR Am J Roentgenol 1996 Jul;167(1):234, 236-8 25 NLM CIT. ID: 96110162 TITLE: Subtotal rarefication of one aortic leaflet in a bicuspid aortic valve due to large aneurysm of left Valsalva's sinus. AUTHOR: Cottogni M; Wicke K; Antretter H ADDRESS: Department of Surgery I, University of Innsbruck, School of Medicine, Austria. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: In a 39-year-old man an isolated, unruptured extracardiac aneurysm of the left sinus of Valsalva led to almost complete rarefication of one aortic valve leaflet, causing insufficiency of the valve. At operation the aneurysm entrance was closed with a patch and prosthetic replacement of the bicuspid aortic valve was performed. The result was satisfactory. SOURCE: Scand J Thorac Cardiovasc Surg 1995;29(2):87-90 26 NLM CIT. ID: 96120679 TITLE: Congenital aneurysm of the sinus of Valsalva dissecting into the interventricular septum. AUTHOR: Abad C ADDRESS: Department of Cardiovascular Surgery, Hospital N.S. Pino, C/Angel Guimera, Gran Canaria, Spain. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: The case of a 57-year-old man with a congenital aneurysm of the right sinus of Valsalva dissecting into the interventricular septum is presented. The patient had a previous heart block and aortic insufficiency. The diagnosis was made by echocardiography and cardiac catheterization. Open-heart surgery was performed, closing the entrance of the aneurysm and replacing the aortic valve. The patient survived surgery and is in New York Heart Association functional class II 3 years after surgical repair. Other cases of this uncommon congenital heart disease are reviewed. SOURCE: Cardiovasc Surg 1995 Oct;3(5):563-4 27 NLM CIT. ID: 96138335 TITLE: [The perforation of a right-coronary sinus of Valsalva aneurysm into the right atrium] AUTHOR: Elsner M; Oelert H; Kasper W ADDRESS: Medizinische Klinik I, St.-Josefs-Hospital, Wiesbaden. PUBLICATION TYPES: JOURNAL ARTICLE REVIEW REVIEW OF REPORTED CASES LANGUAGE: Ger ABSTRACT: HISTORY AND CLINICAL FINDINGS: A 58-year-old man [correction of woman] without previous cardiac symptoms developed exertional dyspnoea and peripheral oedema which markedly increased within a two-week period. Auscultation revealed a 4/6-5/6 holosystolic and diastolic machinery murmur. EXAMINATIONS: Transthoracic and multiplane transoesophageal echocardiography established the diagnosis of a 3 cm aneurysm of the right coronary sinus of Valsalva with clearly demarcated rupture into the right atrium, with a large left to right shunt shown on colour-Doppler echocardiography. These findings were confirmed on cardiac catheterisation. There was no sign of coronary heart disease. TREATMENT AND COURSE: At open-heart surgery the aneurysm was resected, the defect closed with an autologous pericardial patch and the tricuspid valve reconstructed. On follow-up examination the result remained excellent and the patient was free of symptoms. CONCLUSION: In ruptured aneurysm of the coronary sinus of Valsalva, multiplane transoesophageal echocardiography provides exact diagnosis and optimal planning of the operative procedure. SOURCE: Dtsch Med Wochenschr 1995 Dec 15;120(50):1728-33 28 NLM CIT. ID: 96105256 TITLE: Morphometric features of ruptured congenital sinus of Valsalva aneurysm: implication for surgical treatment. AUTHOR: van Son JA; Starr A; Sim EK ADDRESS: Heart Institute, St. Vincent Hospital, Portland, Oregon, USA. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Five hearts with ruptured congenital sinus of Valsalva aneurysm were studied. In 3 hearts of Caucasian patients, the sinus of Valsalva aneurysms were located in the immediate vicinity of the commissure between the noncoronary and right aortic cusps with rupture from the noncoronary sinus to the right atrium (n = 2) and from the right sinus to the right ventricle (n = 1). In 2 hearts of indigenous North Americans, the defects were sited in the immediate vicinity of the commissure between right and left aortic cusps with rupture into the right ventricle; both patients had an associated conal septal hypoplasia ventricular septal defect and aortic insufficiency. The diameters of the rupture holes at the base of the sinus of Valsalva aneurysms in the five hearts ranged from 0.4 to 1.1 cm (mean 0.7 cm). Histologic examination of longitudinal sections through the ruptured sinus of Valsalva showed 0.8 to 1.7 cm (mean 1.1 cm) wide areas in which there was lack of continuity between the aortic media and the aortic annulus. Conclusions. This study shows that the site of congenital weakness in sinus of Valsalva aneurysm in indigenous North American patients may be similar to that in Oriental patients, whereas the site tends to be different in Occidental patients. It also emphasizes the importance of patch closure rather than suture closure of ruptured sinus of Valsalva aneurysms. SOURCE: J Cardiovasc Surg (Torino) 1995 Oct;36(5):433-6 29 NLM CIT. ID: 95366662 TITLE: Left coronary sinus of Valsalva aneurysm: an extremely rare malformation. A case report. AUTHOR: Tahir MZ; al Ebrahim K; Rustom M ADDRESS: Al Hada Military Hospital, Taif, Kingdom of Saudi Arabia. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: The authors describe a sixty-four-year-old man who underwent coronary angiography for angina pectoris and was found to have a left coronary sinus aneurysm--an extremely rare malformation. SOURCE: Angiology 1995 Aug;46(8):753-8 30 NLM CIT. ID: 95348347 TITLE: Ruptured sinus of Valsalva aneurysm: cine phase-contrast MR characterization. AUTHOR: Ho VB; Sahn DJ; Kinney JB ADDRESS: Department of Radiology, Madigan Army Medical Center, Tacoma, WA 98431-5000, USA. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Congenital sinus of Valsalva aneurysms are rare anomalies that usually go undetected unless they rupture. We report a case of a ruptured congenital sinus of Valsalva aneurysm, detected with cine phase-contrast MRI. SOURCE: J Comput Assist Tomogr 1995 Jul-Aug;19(4):652-6 31 NLM CIT. ID: 95347027 TITLE: Aneurysm of the aortic sinus of Valsalva with reversed shunt of ductus arteriosus. AUTHOR: Liang CD; Su WJ ADDRESS: Department of Pediatrics, Chang Gung Memorial Hospital, Kaohsiung, Taiwan. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A rare case of aneurysm of aortic sinus of Valsalva associated with patent ductus arteriosus and Eisenmenger's syndrome in a 7-yr-old boy is described. The diagnosis was made by echocardiography and cardiac angiography. SOURCE: Cathet Cardiovasc Diagn 1995 Apr;34(4):333-6 32 NLM CIT. ID: 95297927 TITLE: [Rupture of sinus of Valsalva aneurysm] AUTHOR: Hoss AJ; Baldi AB; Petterson CH ADDRESS: CENTROCOR, Centro de Diagnostico Cardiovascular de Santa Cruz do Sul. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Por ABSTRACT: A 35 year-old man with aneurysm of the noncoronary sinus of Valsalva ruptured into the right atrium, detected by echodopplercardiogram and submitted to surgical correction is reported. The authors discuss peculiar aspects of this disease, with emphasis to the echodopplercardiographic diagnosis. SOURCE: Arq Bras Cardiol 1994 Sep;63(3):219-21 33 NLM CIT. ID: 95294100 TITLE: Ruptured aneurysm of the sinus of Valsalva. Clinical review, treatment results. AUTHOR: Wos S; Iwinski J; Korzeniowska B; Toczek K Domaradzki W; Jasinski M; Ceglarek W; Bachowski R; Matuszewski M ADDRESS: II Department of Cardiac Surgery, Silesian Medical Academy, Katowice, Poland. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng REGISTRY NUMBERS: 0 (Polyethylene Terephthalates) 0 (Polypropylenes) ABSTRACT: Five patients were operated on because of ruptured aneurysm of the sinus of Valsalva. In the cases with no concomitant VSD the surgical access from the aorta was used. The aorta was opened and the Fogarty catheter was introduced to the fistula. The "wind sock" of the aneurysm was pulled back to the aorta and excised. The opening was closed with double-line pledgetted polypropylene sutures. In severe aortic incompetence mechanical prostheses were implanted. One patient had bacterial endocarditis with reopening of the fistula and aortic valve incompetence that required reoperation. All patients are in a good clinical state. We recommend the use of Dacron patches even in small aneurysms to avoid re-opening of the fistula. SOURCE: J Cardiovasc Surg (Torino) 1994 Dec;35(6 Suppl 1):219-22 34 NLM CIT. ID: 95264614 TITLE: [Surgical treatment of ruptured aneurysm of the sinus Valsalva] AUTHOR: Yoshikai M; Itoh T; Natsuaki M; Nakayama Y; Doi K Sakuragi T ADDRESS: Department of Thoracic and Cardiovascular Surgery, Saga Medical School, Japan. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn ABSTRACT: A case of 31-year-old man with ruptured aneurysm of the sinus Valsalva into right atrium originating from noncoronary sinus (Konno's classification type IV) was presented. Patch closure of the defect was carried out through aortotomy followed by resection and direct closure of the aneurysm from right atrium. When placing the patch, pledgetted mattress sutures were passed to the aortic annulus from left ventricle to aorta. It could avoid distortion of aortic valve cusp. Attempting surgical treatment for this type of aneurysm, repair of the defect should be performed through aortotomy to ensure the repair and avoid recurrence of aneurysm, injury to aortic valve and conduction system. Repair from aorta is mandatory, and it is also necessary to open right atrium for the exact inspection of tricuspid valve. SOURCE: Kyobu Geka 1995 May;48(5):385-7 35 NLM CIT. ID: 95238057 TITLE: Echocardiography of sinus of Valsalva aneurysm with rupture into the right atrium. AUTHOR: Missault L; Taeymans Y; Callens B ADDRESS: Department of Cardiology, University Hospital, Ghent, Belgium. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Before the advent of modern techniques, diagnosing unruptured sinus of Valsalva aneurysm in the living patient was rare, with most of the reports coming from autopsy or surgery. Once rupture occurs however, characteristic symptoms and signs, such as precordial distress, a continuous murmur over the base of the heart, pulmonary congestion, and congestive heart failure, usually occur rather abruptly. We describe a case of ruptured aneurysm of the non-coronary sinus of Valsalva diagnosed by transthoracic echocardiography and Doppler as a single examination for quickly establishing a correct diagnosis in patients with a new continuous murmur. SOURCE: Int J Cardiol 1995 Jan 6;47(3):269-72 36 NLM CIT. ID: 95238041 TITLE: Ruptured aneurysm of the sinus of Valsalva in a patient with Behcet's disease. AUTHOR: Koh KK; Cho SW; Jin SH; Lee SC; Kim SS; Lee KH ADDRESS: Division of Cardiology, Inha University Hospital, Kyunggi-do, Korea. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: The vast majority of sinus of Valsalva aneurysm originated from a localized congenital defect of the aortic media and less frequently from infections or degenerative processes affecting the aortic wall. But aneurysm of sinus of Valsalva has not been reported up to the present in a patient with Behcet's disease. We report a 39-year-old woman presenting ruptured aneurysm of the sinus of Valsalva and Behcet's disease. SOURCE: Int J Cardiol 1994 Dec;47(2):177-9 37 NLM CIT. ID: 95216912 TITLE: [Triple aneurysm of the Valsalva sinus complicated by right coronary occlusion: apropos of a case and review of the literature] AUTHOR: Chakfe N; Wolff F; Brechenmacher C; Zupan M Gasser B; Nicolini P; Kretz JG ADDRESS: Service de Chirurgie Cardio-Vasculaire, Les Hopitaux Universitaires de Strasbourg. PUBLICATION TYPES: JOURNAL ARTICLE REVIEW REVIEW LITERATURE LANGUAGE: Fre ABSTRACT: We report a case of aneurysm of all three aortic sinuses. The patient suffered from both cardiac failure and angina pectoris. The diagnosis, suggested by echocardiography, was confirmed by magnetic resonance imaging (MRI) which showed marqued dilatation of all three aortic sinuses. At operation, we observed dilatation of all three aortic sinuses, measuring 2 to 6 cm and partially thrombosed. We performed a Bentall operation with reimplantation of the left coronary artery ostium. The right coronary ostium was thrombosed and was revascularized by a saphenous vein bypass. Despite prolonged circulatory assistance and an intra-aortic balloon counterpulsation, cardiopulmonary bypass could not be stopped and the patient died. This is a new case of multiple aneurysms of the aortic sinuses and also a case of aortic sinus aneurysm (ASA) complicated by coronary insufficiency. This last complication has a poor prognosis, as demonstrated by a review of the 28 cases described in the literature. MRI was found to be important for the diagnosis of the ASA, in combination with echocardiography and angiography which can underestimate the aneurysm because of the frequently associated mural thrombus. SOURCE: Ann Chir 1994;48(9):825-31 38 NLM CIT. ID: 95215618 TITLE: [Aortic insufficiency secondary to an unruptured congenital aneurysm of the sinus of Valsalva] AUTHOR: Guia JM; Gracian M; de la Pena J; Castro FJ ADDRESS: Seccion de Cardiologia Pediatrica, Hospital Infantil Virgen de la Arrixaca, Murcia. PUBLICATION TYPES: JOURNAL ARTICLE REVIEW REVIEW OF REPORTED CASES LANGUAGE: Spa ABSTRACT: Congenital aneurysm of the sinus of Valsalva is an uncommon entity. Its diagnosis is rare in infancy because most cases are asymptomatic. This condition is usually detected in adults as incidental finding or a complication due to aneurysm. We report a five-year-old asymptomatic child, with a congenital unruptured aneurysm of the right sinus of Valsalva. It was diagnosed on two-dimensional and Doppler echocardiography, and confirmed by angiography showing an aortic regurgitation. The aim of this publications is to report another case of this rare condition in pediatric cardiology, which real importance is probably subestimated because of unusual clinical manifestation. Nevertheless, the increasing use of the two-dimensional and Doppler echocardiography will provide much more cases of this entity. Diagnosis and treatment are reviewed as well as bibliography. SOURCE: Rev Esp Cardiol 1995 Mar;48(3):202-4 39 NLM CIT. ID: 95210833 TITLE: An unruptured aneurysm in the right sinus of Valsalva presenting as coronary insufficiency. AUTHOR: Okita Y; Watanabe H; Kawashima Y; Hirai H; Morota T Ando M; Takamoto S ADDRESS: Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A giant aneurysm in the right sinus of Valsalva compressed the right coronary artery and caused angina pectoris in a 44-year-old man. Surgical correction consisted of obliterating the orifice of the aneurysm with a Dacron patch and relocating the right coronary artery. Postoperative angiography demonstrated excellent results. Pathological study demonstrated the absence of normal elastic fibers in the media of the aneurysm. SOURCE: J Card Surg 1995 Jan;10(1):59-64 40 NLM CIT. ID: 95136738 TITLE: Unruptured aneurysm of the left coronary sinus of valsalva associated with aneurysm of the interventricular septum. AUTHOR: Wu QY; Xue GX ADDRESS: Department of Cardiac Surgery, Cardiovascular Institute and Fu Wai Hospital, Chinese Academy of Medical Sciences, Beijing. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Chin Med J (Engl) 1994 Oct;107(10):794-7 41 NLM CIT. ID: 95131506 TITLE: [A case report of surgical repair of a ruptured aneurysm of the sinus Valsalva in an aged person with cardiac cachexia] AUTHOR: Iida H; Shimada K; Okamura Y; Mochizuki Y; Mori H Yamada Y; Sugita Y ADDRESS: Department of Cardiothoracic Surgery, Dokkyou University School of Medicine, Tochigi, Japan. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn ABSTRACT: A 71-year-old woman underwent surgical repair of a ruptured aneurysm of the sinus Valsalva. She had an aneurysm of the right coronary sinus ruptured into the right atrium. There was no VSD. The patient suffered from heart failure for 38 years and went into cardiac cachexia. Direct closure from the right atrium was performed and the patient has resumed full physical activities. As far as we know, this is one of the oldest patients who underwent successful surgery for this disease in this country. SOURCE: Kyobu Geka 1994 Dec;47(13):1091-3 42 NLM CIT. ID: 95113611 TITLE: Unruptured aneurysm of the left sinus of Valsalva presenting with atrial fibrillation. AUTHOR: Walsh JT; Andrews R ADDRESS: Department of Cardiovascular Medicine, Queen's Medical Centre, Nottingham, UK. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Congenital aneurysms arising from the left sinus of Valsalva are extremely uncommon, and when unruptured often asymptomatic. Abnormalities of rhythm are more commonly associated with dilatation of the right coronary sinus although the reason for this is unclear. We report the first case of an unruptured aneurysm involving the left sinus of Valsalva presenting with paroxysmal atrial fibrillation. Two-dimensional echocardiography confirmed the diagnosis. SOURCE: Int J Cardiol 1994 Oct;46(3):297-8 43 NLM CIT. ID: 95043254 TITLE: Long-term outcome of surgical repair of ruptured sinus of Valsalva aneurysm. AUTHOR: van Son JA; Seward JB; Edwards WD; Orszulak TA Schaff HV; Danielson GK ADDRESS: Division of Thoracic and Cardiovascular Surgery, Mayo Clinic, Rochester, MN 55905. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: BACKGROUND: Because not much is known about the longterm results of surgical treatment of ruptured sinus of Valsalva aneurysm (RSVA), we reviewed our entire 37-year experience with this condition. METHODS AND RESULTS: From August 1956 through September 1993, 31 patients aged 3 to 54 years (median age, 29 years) underwent surgical correction of RSVA. Aneurysms originated in the right (n = 24) and noncoronary (n = 7) sinuses and entered the right ventricle in 21 patients and the right atrium in 10. Coexistence cardiac lesions included ventricular septal defect (VSD) (n = 16, 15 of which were subarterial) and aortic valve insufficiency (n = 13). There was a highly significant correlation between aortic insufficiency and the presence of an associated subarterial VSD (P < .0001). There was no hospital mortality. One patient (3.2%) died of endocarditis 9 years after subsequent aortic valve replacement; overall survival was 95% at 20 years. Two foreign patients were lost to follow-up after 11 and 13 years, respectively. Follow-up in the remaining 28 survivors extended to 37 years (mean, 25.7 years). Five patients (16.1%) underwent reoperation for aortic valve replacement (n = 3), closure of recurrent fistula (n = 1), and closure of both recurrent fistula and recurrent VSD (n = 1); all had their primary operation before 1976. All patients who had reoperation had right sinus of Valsalva-to-right ventricle fistulas, and 4 had an additional subarterial VSD. Risk of reoperation was higher with right ventricle fistulas than with right atrium fistulas, and this approached statistical significance (P = .06). Risk of reoperation in patients with right ventricle fistulas was lower when an aortotomy (with or without right ventriculotomy) was used during repair (1 of 8, 12.5%) versus right ventriculotomy only (4 of 13, 30.8%), although this did not reach statistical significance (P = .10). Need for reoperation was increased with the presence of a subarterial VSD (P = .08) but not with location of fistula or type of repair (direct suture versus patch). Of 9 patients with mild aortic insufficiency at primary operation, two developed late severe aortic insufficiency necessitating aortic valve replacement at 21 and 31 years, respectively. Twenty-five patients are in New York Heart Association class I, and 3 are in class II. CONCLUSIONS: Long-term survival after surgical treatment of RSVA is excellent. The risk for recurrent fistula or VSD is minimal in the current era. Late aortic insufficiency is still a risk, especially in right sinus of Valsalva-to-right ventricle fistula with associated subarterial VSD. Repair of RSVA through an aortotomy with or without cardiotomy permits inspection of the aortic root complex and facilitates aortic valve repair; this approach may reduce the incidence of late aortic insufficiency. SOURCE: Circulation 1994 Nov;90(5 Pt 2):II20-9 44 NLM CIT. ID: 94311200 TITLE: Intracardiac ultrasonographic imaging to diagnose a ruptured sinus of Valsalva aneurysm. AUTHOR: Samaha FF; Follman DF; Weinert L; Carroll JD Abbo KM; Lang R ADDRESS: Hans Hecht Hemodynamics Laboratory, University of Chicago Medical Center, IL 60637-6063. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am Heart J 1994 Aug;128(2):409-12 45 NLM CIT. ID: 94280952 TITLE: Transcatheter closure of a ruptured aneurysm of the sinus of Valsalva. AUTHOR: Cullen S; Redington A; Somerville J ADDRESS: Royal Brompton National Heart and Lung Hospital, London. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Br Heart J 1994 May;71(5):479-80 46 NLM CIT. ID: 94254476 TITLE: Transaortic repair of ruptured aneurysm of sinus of Valsalva. Fifteen-year experience. AUTHOR: Hamid IA; Cherian KM; Monro JL; Rajan S; Jothi M ADDRESS: Department of Cardiac Surgery, Southampton General Hospital, United Kingdom. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Between 1978 and 1993 a total of 25 cases of ruptured aneurysm of the sinus of Valsalva underwent transaortic repair at the Railway Hospital and the Institute of Cardiovascular Diseases at Madras, India. The aneurysms ruptured into the right ventricle in 20 patients, into the right atrium in 2, into the left ventricle in 1, and into the interventricular septum in 2. They originated from the right coronary sinus in 22 patients and from the noncoronary sinus in 3. Associated congenital anomalies included ventricular septal defect in 21, tetralogy of Fallot in 1, and pulmonary stenosis in 1. All 25 patients underwent transaortic repair of the ruptured sinus of Valsalva, and in patients with a ventricular septal defect the defect also was closed via this route. The patient with associated pulmonary stenosis had a pulmonary valvotomy. The patient with tetralogy of Fallot had infundibular resection, ventricular septal defect closure via a transatrial route, and a right ventricular outflow patch. No intraoperative deaths occurred, but one early death resulted from septicemia and multiorgan failure after rupture of the aneurysm into the interventricular septum with consequent development of extensive intramyocardial and epicardial abscesses. One late death occurred as a result of recurrent subacute bacterial endocarditis and septicemia. Transaortic repair of ruptured aneurysm of the sinus of Valsalva can be accomplished with a low risk of mortality and has the advantage that an associated ventricular septal defect, which frequently accompanies this condition, can be conveniently closed via the same route. SOURCE: J Thorac Cardiovasc Surg 1994 Jun;107(6):1464-8 47 NLM CIT. ID: 94240652 TITLE: Sinus of Valsalva aneurysm: a late complication after repair of ascending aortic dissection. AUTHOR: Simon P; Havel M; Wolner E; Mohl W; Ehrlich M Grabenwoeger M; Anwari A; Kupilik N; Moidl R; Owen AN ADDRESS: Surgical Clinic II, University of Vienna, Austria. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Surgical advances and the introduction of new more rapid and accurate diagnostic techniques have led to significant improvement in the survival of patients with aortic aneurysms. However, considerable long-term morbidity and mortality remains a concern. In the present study we report on the occurrence of sinus of Valsalva (SV) aneurysm after repair of the ascending aorta for aortic dissection as a significant long-term complication. Since transesophageal echocardiography (TEE) became available it has been used for the follow-up of 33 hospital survivors after ascending aortic replacement for a mean of 27 +/- 20 months. Those patients who received a valved conduit were excluded from this analysis. The aortic valve was conserved in 22 patients: 17 had a dissecting aneurysm involving the ascending aorta and 4 patients non-dissecting aneurysms. A sinus of Valsalva diameter > 45 mm was considered an aneurysm and was found in a total of 7 patients (33%), 5 being patients with aortic dissection. The overall reoperation rate on account of SV aneurysms was 24%. We conclude that SV aneurysm is a significant long-term complication of patients after repair of the ascending aorta. In the light of these results we have changed our operative policy of repair to include resorcin glue as a reinforcing agent or to perform more extensive repair. SOURCE: Thorac Cardiovasc Surg 1994 Feb;42(1):29-31 48 NLM CIT. ID: 94165128 TITLE: Rupture of a sinus of Valsalva aneurysm due to Aspergillus endocarditis. AUTHOR: Hurley J; McGovern E ADDRESS: National Cardiac Surgical Unit, Mater Hospital, Dublin, Ireland. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: We report a case of rupture of an acquired sinus of Valsalva aneurysm secondary to Aspergillus endocarditis in a patient with chronic lymphocytic leukaemia and idiopathic thrombocytopaenia purpura. Despite adequate repair and haemodynamic correction, with an apparent excellent initial result, the patient died of overwhelming sepsis at twelve days postoperatively. This case demonstrates an unusual cause of rupture of a sinus of Valsalva aneurysm and the morbidity associated with immunological dysfunction in the post-operative period. SOURCE: J Cardiovasc Surg (Torino) 1994 Feb;35(1):75-7 1 NLM CIT. ID: 94137974 TITLE: Anesthetic implications of a ruptured aneurysm of the sinus of Valsalva. AUTHOR: Amar D; Komer CA ADDRESS: Department of Anesthesiology and Critical Care Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY 10021. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng REGISTRY NUMBERS: 33125-97-2 (Etomidate) 50700-72-6 (Vecuronium Bromide) 56030-54-7 (Sufentanil) SOURCE: J Cardiothorac Vasc Anesth 1993 Dec;7(6):730-3 2 NLM CIT. ID: 94226885 TITLE: [Echocardiographic findings in ruptured sinus of Valsalva aneurysm] AUTHOR: Stadler P ADDRESS: Klinik fur Pferde, Universitat Hannover. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ger SOURCE: Tierarztl Prax Suppl 1993;:29 3 NLM CIT. ID: 94026663 TITLE: Echocardiographic diagnosis of aneurysm of the sinus of Valsalva. AUTHOR: Dev V; Saxena A; Bahl VK; Shrivastava S; Goswami KC ADDRESS: Department of Cardiology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Echocardiographic and Doppler data of 62 patients with ASOV are presented. Catheterization and angiography were performed in 38 cases and surgery in 25 of the 38. The origin of these aneurysms was the RCS in 56 cases, NCS in 5, and LCS in 1 case. Seven had unruptured aneurysms, 6 rising from RCS dissected into the ventricular septum, producing heart block in 4, AR in 5, mitral regurgitation in 1; 1 aneurysm rising from the LCS was asymptomatic. In other cases (n = 55) the aneurysm had ruptured into one of the cardiac chambers. Thirty-two of the 50 RCS aneurysms ruptured into the RVOT, 13 into the RV cavity, 2 into the RA, and 3 into the LV. Of the 5 NCS aneurysms, (3 ruptured into the RA, 1 into the RV, and 1 into both the RA and RV. Associated VSD was identified in 16 (25.8%) of 62 cases. All of these patients had RCS aneurysms that ruptured into the RVOT. Echocardiography missed VSD in three cases that at surgery were found to have VSD. AR was found in 34 of 62 cases. Echocardiography picked up discrete subaortic stenosis in two cases but missed subvalvar PS in 2 of the 3 cases. A detailed echocardiographic study (two-dimensional, Doppler, and color flow imaging) is accurate in the diagnosis of ASOV, in the identification of its site of origin and rupture, and in the evaluation of the associated defects; in the vast majority of cases, it can totally supplant the need for angiography. SOURCE: Am Heart J 1993 Oct;126(4):930-6 4 NLM CIT. ID: 94023500 TITLE: [An autopsy case of the sinus of Valsalva aneurysm involved with tuberculous inflammation, leading to complete heart block] AUTHOR: Matsumoto Y; Kume K; Daimaru H; Fukuyama T Ashihara T; Ogata I; Higuchi S; Ando H; Tagawa H; Kubo T ADDRESS: Department of Cardiology, Matsuyama Red Cross Hospital. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn ABSTRACT: A case is presented of unruptured aneurysm of the non coronary sinus of Valsalva, causing involvement of A-V node and right coronary artery compression. The patient was a 68 year-old woman with a complaint of general fatigue. Electrocardiogram showed complete A-V block. Computed tomography showed an aneurysm of the non coronary sinus of Valsalva. A temporary pacemaker was implanted, but the patient developed respiratory failure and heart failure and died. At autopsy, macroscopically disseminated tuberculosis was noted in both lungs and kidneys. Microscopically a tuberculous inflammatory lesion extending into the A-V node was found. We report this rare case with some consideration of the literature. SOURCE: Kokyu To Junkan 1993 Sep;41(9):911-5 5 NLM CIT. ID: 93370968 TITLE: [Compression of the coronary trunk by aneurysm of the antero-left Valsalva sinus associated with acute mitral insufficiency caused by rupture of the chordae following valvular prolapse. Successful triple surgical operation in a 66-year old patient] AUTHOR: Bayada JM; Morand P; Jourdan J; Gibelin P; Corneil G Giordano P ADDRESS: Service de Medecine Interne, Hopital La Palmosa, Menton. PUBLICATION TYPES: JOURNAL ARTICLE REVIEW REVIEW OF REPORTED CASES LANGUAGE: Fre ABSTRACT: Tearing of the chordae is a common complication of prolapse of the mitral valve; which becomes increasingly common with age. In contrast, aneurysm of the Valsalva sinus is rare in patients over 65 years of age. The antero-left sinus is an unusual location, but may be complicated by compression of the left coronary artery, which is reported in 16 cases in the literature. The case reported is unusual due to the combination in a 66-year old subject of acute mitral incompetence, due to tearing of the chordae following prolapse of the mitral valve, and an aneurysm pressing on the coronary trunk whilst remaining asymptomatic. Complete correction of the lesions was successfully achieved by surgery. SOURCE: Ann Cardiol Angeiol (Paris) 1993 Jun;42(6):305-7 6 NLM CIT. ID: 93370254 TITLE: Flail tricuspid valve in ruptured aneurysm of the right sinus of Valsalva. AUTHOR: Yanase O; Sugiura M; Maemura T; Tejima T; Nomura S Motomiya T ADDRESS: Department of Cardiology, Tokyo Metropolitan Hiroo General Hospital, Japan. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am Heart J 1993 Sep;126(3 Pt 1):747-9 7 NLM CIT. ID: 93294423 TITLE: [Surgical treatment of ruptured sinus of Valsalva aneurysm] AUTHOR: Sugimoto T; Higami T; Nishiwaki M; Mukohara N Asada T; Ogawa K ADDRESS: Division of Cardiovascular Surgery, Hyogo Brain and Heart Center, Himeji, Japan. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn ABSTRACT: We operated on 3 patients with ruptured sinus of Valsalva aneurysm (RSVA). According to the classification by Konno, 2 of them had type I RSVA where aneurysm originated from the right coronary sinus rupturing into the right ventricle, and another type IV where it arose from the non-coronary sinus draining into the right atrium. Both of the 2 with type I RSVA had accompanied ventricular septal defect (VSD) of Kirklin type I. One of them had infective endocarditis with vegetations clinging to the aortic valve, the pulmonary valve and the right ventricular wall adjacent to VSD, and aortic regurgitation of grade II consequently occurred. In this patient, the aortic cusps and the wall of sinus of Valsalva aneurysm were taken out with vegetations. The defect of sinus and VSD were closed with one large patch and a 25 mm SJM aortic valve was implanted using the patch as a part of annulus. The other patient with type I RSVA received a direct closure of defect of Valsalva sinus and VSD. Another patient with type IV RSVA underwent a direct closure of right atrial wall where aneurysm protruded. All 3 patients are doing well without shunt and aortic regurgitation. In this paper, diagnosis, surgical treatment and outcome of RSVA were reviewed. SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1993 Apr;41(4):643-8 8 NLM CIT. ID: 93263740 TITLE: Rupture of a sinus of Valsalva aneurysm through the tricuspid septal leaflet. AUTHOR: Kallis P; Smith EE; de Belder M ADDRESS: Department of Cardiological Sciences, St. George's Hospital, London, United Kingdom. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: We report a case of rupture of an aneurysm of the noncoronary sinus of Valsalva with the tract of the fistula emerging through the tricuspid septal leaflet. This rare pathology created a diagnostic dilemma, as the direction of the jet of blood was alternating between the right atrium and the right ventricle. SOURCE: Ann Thorac Surg 1993 May;55(5):1247-8 9 NLM CIT. ID: 93220602 TITLE: Ruptured congenital aneurysm of the sinus of Valsalva with persistent left superior vena cava imaged by intraoperative transesophageal echocardiography. AUTHOR: Flynn MS; Labovitz AJ; McBride LW; Castello R ADDRESS: Cardiology Division, St. Louis University Medical Center, MO 63110-0250. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am Heart J 1993 Apr;125(4):1185-7 10 NLM CIT. ID: 93213646 TITLE: Unruptured aneurysm of the sinus of Valsalva: a potential source of cerebrovascular embolism. AUTHOR: Shahrabani RM; Jairaj PS ADDRESS: Department of Cardiology and Cardiovascular Surgery, Royal Hospital, Muscat, Sultanate of Oman. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: An unruptured aneurysm of the right sinus of Valsalva with intraluminal thrombus that displaced the right coronary artery ostium was diagnosed in a 30 year old Omani man who was investigated for uncontrolled grand mal epilepsy and residual left hemiparesis caused by occlusion of the right middle cerebral artery. Surgical intra-aortic closure of the aneurysm, which necessitated a saphenous vein graft to the right coronary artery, was successful. An aneurysm of the sinus of Valsalva is an unusual cause of a thromboembolic cerebrovascular accident. SOURCE: Br Heart J 1993 Mar;69(3):266-7 11 NLM CIT. ID: 93175322 TITLE: Unruptured sinus of Valsalva aneurysm presenting with embolization. AUTHOR: Wortham DC; Gaither NS; Vernalis MN; Hull RW Gorman PD ADDRESS: Cardiology Service, Walter Reed Army Medical Center, Washington, DC 20307. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am Heart J 1993 Mar;125(3):896-8 12 NLM CIT. ID: 93137260 TITLE: [Postendocarditis aneurysm of the right sinus of Valsalva: its echographic diagnosis with preoperative angiographic confirmation] AUTHOR: De Felice M; Toscano M; Le Grottaglie F; Pierli C ADDRESS: Cattedra di Cardiologia, Universita degli Studi, L'Aquila. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ita ABSTRACT: The sinus of Valsalva aneurysm is a rare complication of bacterial endocarditis in infancy and childhood. This report describes a young man with congenital aortic stenosis and bacterial endocarditis caused by Salmonella typhi. Bacterial endocarditis in this young man was complicated by the development of an aneurysm of the right sinus of Valsalva and a severe aortic regurgitation. Two-dimensional and Doppler echocardiography proved useful for the initial diagnosis and serial follow-up of this unusual disorder. However, an angiographic examination has been necessary for the surgical correction in order to understand the relationship between the aneurysm and the coronary arteries. SOURCE: Cardiologia 1992 Aug;37(8):561-3 13 NLM CIT. ID: 93120715 TITLE: Recurrent hemoptysis due to aortobronchopulmonary fistula of false aortic aneurysm associated with repair of rupture of the sinus of Valsalva. AUTHOR: Ishida A; Asakura T; Hoshino M; Nakashima Y Hiramatsu T; Ajioka M; Sakai K ADDRESS: Department of Internal Medicine, Tosei General Hospital, Seto, Japan. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A 54-year-old man presented with recurrent hemoptysis of one year duration. Computed tomography (CT) and magnetic resonance imaging (MRI) demonstrated a saccular aneurysm of the ascending aorta. The aneurysm was intraoperatively found to have formed on the superior surface of the site of aortotomy suture placed during previous repair of rupture of the sinus of Valsalva and to have a fistulous communication to the lung. CT and MRI were very useful in the diagnosis of the aneurysm as the cause of hemoptysis. SOURCE: Intern Med 1992 Aug;31(8):1043-6 14 NLM CIT. ID: 93116244 TITLE: [A case report of ruptured aneurysm of the sinus Valsalva resulted in tricuspid valve endocarditis] AUTHOR: Yoshikai M; Seto T; Iida Y; Tsuchiya K; Kato J Ishitoya H ADDRESS: Department of Cardiovascular Surgery, Yamanashi Prefectural Central Hospital. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn ABSTRACT: A case of a 42-year-old man with ruptured aneurysm of the sinus Valsalva resulted in tricuspid valve endocarditis was reported. The aneurysm originating from the right sinus Valsalva ruptured into the right atrium, which caused tricuspid valve endocarditis. The aneurysm was closed through right atrial approach. A part of the septal leaflet of tricuspid valve including vegetation was resected and repaired. SOURCE: Kyobu Geka 1992 Dec;45(13):1194-6 15 NLM CIT. ID: 93103699 TITLE: Unruptured sinus of valsalva aneurysm and bicuspid aortic valve with aortic cusp perforation: detection by color flow Doppler mapping. AUTHOR: Humphreys JD; Davolos DG; Ballerio FO ADDRESS: Department of Cardiology, Hospital Britanico, Buenos Aires, Argentina. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Congestive heart failure developed in a 53-year-old man with a history of bicuspid aortic valve, angina, and pericarditis. Two-dimensional echocardiography showed a sinus of Valsalva aneurysm related to the anterior coronary sinus and color flow mapping identified a perforation of the anterior aortic cusp. These findings were confirmed during surgery. SOURCE: J Am Soc Echocardiogr 1992 Nov-Dec;5(6):631-4 16 NLM CIT. ID: 93098132 TITLE: Aneurysm of the noncoronary sinus of Valsalva ruptured into the left atrium. AUTHOR: Cabanes L; Guerin F; Fouchard J; Donzeau-Gouge P Berrebi A; VanDamme C; Garcia E ADDRESS: Department of Cardiology, Hopital Cochin, Rene Descartes University, Paris, France. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am Heart J 1992 Dec;124(6):1659-61 17 NLM CIT. ID: 93037925 TITLE: [Ruptured aneurysm of the aortic sinus of Valsalva: clinical course, diagnosis, and treatment] AUTHOR: Rangel-Abundis A; Verdin Vazquez R; Martinez E Enciso R; Soberanis-Torruco C; Badui E ADDRESS: Department de Hemodinamia, Centro Medico La Raza. I.M.S.S. Mexico, D.F. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Spa ABSTRACT: The authors present the clinical cases of 5 patients, with rupture of the aortic Valsalva's sinus aneurysm open to the right chambers, diagnosed clinically, echocardiographically and hemodynamically in the past eight months. Among them, four were males, and one female. Three were treated surgically successfully, one patient refused surgery and another had a sudden death before surgery. The patients showed arteriovenous blood flow shunt, three from the aorta to the right ventricle, and two to the right atrium. One case was associated to an atrial septal defect, and tricuspid insufficiency in another. The authors added a sixth case: a woman, with rupture of the aortic Valsalva's sinus open to the right ventricle, aortic insufficiency and diaphragmatic subaortic stenosis. The authors discuss the embryologic origin of the formation and rupture of the Valsalva's sinus aneurysm as well as the factors that contribute to it's rupture, the natural history of the illness, it's classification, association with other heart disease as well as diagnosis and treatment. SOURCE: Arch Inst Cardiol Mex 1992 Jul-Aug;62(4):361-71 18 NLM CIT. ID: 93001877 TITLE: Anomalous origin of the right coronary artery from the pulmonary artery in association with congenital aneurysm of the sinus of Valsalva: angiographic diagnosis of a rare association. AUTHOR: Sundar AS; Fox KA ADDRESS: Department of Cardiology, University of Wales College of Medicine, Heath Park, Cardiff. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A 37 year old man presenting with acute heart failure, hypotension, and acute renal failure was diagnosed by cardiac catheterisation and angiography to have the rare combination of congenital aneurysm of the non-coronary sinus of Valsalva rupturing into the right ventricle, and an anomalous origin of the right coronary artery from the main pulmonary artery. The diagnosis could not be confirmed by transthoracic echocardiography in this patient. This combination of defects, confirmed at cardiac surgery, has not been reported before, and this case report highlights the importance of preoperative definition of congenital defects associated with an aneurysm of the sinus of Valsalva. SOURCE: Br Heart J 1992 Sep;68(3):330-2 19 NLM CIT. ID: 93001234 TITLE: Ruptured congenital aneurysm of the sinus of Valsalva: surgical technique and long-term follow-up. AUTHOR: Pasic M; Turina M; Jenni R; Carrel T; von Segesser L ADDRESS: Clinic for Cardiovascular Surgery, University Hospital, Zurich, Switzerland. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Congenital ruptured aneurysm of the sinus of Valsalva is a rare anomaly usually causing decrease of cardiac performance. Eight patients with a ruptured congenital aneurysm of the sinus of Valsalva were operated upon at the University Hospital Zurich between 1970 and 1991. There were four female and four male patients aged from 15 to 48 years (mean, 36 years). Three patients were asymptomatic and five symptomatic. Associated congenital cardiac defects were found in six patients. Surgical techniques consisted of direct suture in seven patients and closure with a Dacron patch in one. A secondary Dacron patch closure was performed on the second postoperative day in a patient with suture insufficiency after direct closure. Associated operations were closure of ventricular septal defect in two patients, aortic valve replacement in two, aortic valve reconstruction in one and aortic valve commissurotomy in one patient. There were no operative deaths. The mean follow-up was 9 years, range 7 months to 17 years. There were two late deaths due to endocarditis and recurrent cerebral embolisation. An operation for a ruptured aneurysm of the sinus of Valsalva has a low operative risk, but patients remain prone to development of late valvular complications. SOURCE: Eur J Cardiothorac Surg 1992;6(10):542-4 20 NLM CIT. ID: 92312452 TITLE: Unruptured sinus of Valsalva aneurysm diagnosed by transesophageal echocardiography. AUTHOR: Rubin DC; Hawke MW; Plotnick GD; Salter DR Carliner NH ADDRESS: Department of Medicine, University of Maryland Medical Center, Baltimore 21201. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am Heart J 1992 Jul;124(1):225-7 21 NLM CIT. ID: 92136932 TITLE: Unruptured congenital aneurysm of the left sinus of Valsalva presenting as acute right ventricular failure. AUTHOR: D'Silva SA; Tendolkar AG; Kale PA; Lokhandwala YY Dalvi BV ADDRESS: Department of Cardiology, King Edward VII Memorial Hospital, Parel, Bombay, India. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A patient with unruptured congenital aneurysm of the left coronary sinus of Valsalva presented with acute right-sided heart failure due to right ventricular outflow tract obstruction. The mechanism for such an acute presentation may have been a sudden increase in the size of the aneurysm. The surgical importance of this lesion is the combined aortocameral approach which is seldom required for correction of such aneurysms. SOURCE: Chest 1992 Feb;101(2):578-9 22 NLM CIT. ID: 92109145 TITLE: Role of transesophageal echocardiography in sinus of Valsalva aneurysm. AUTHOR: McKenney PA; Wiegers SE; Shemin RJ ADDRESS: Evans Memorial Department of Clinical Research, Boston, MA. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am Heart J 1992 Jan;123(1):228-9 23 NLM CIT. ID: 92151256 TITLE: Aortic regurgitation and aneurysm of Sinus of Valsalva associated with osteogenesis imperfecta. AUTHOR: Ohteki H; Itoh T; Kohchi K; Koga N; Sakurai J Ohtsubo S ADDRESS: Department of Cardiology, Koga Hospital, Japan. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A case of osteogenesis imperfecta with aortic regurgitation is described. The patient had a dilated aortic valve ring and an aneurysm of the Sinus of Valsalva. The patient manifested severe hemodynamic abnormalities and underwent aortic root reconstruction using a valved conduit. The operative problems and the pathological findings are discussed. SOURCE: Thorac Cardiovasc Surg 1991 Oct;39(5):294-5 24 NLM CIT. ID: 92115951 TITLE: [A sinus of Valsalva aneurysm ruptured into the right atrium secondary to aortic endocarditis. The usefulness of transthoracic and transesophageal echocardiography] AUTHOR: Asin Cardiel E; Hernandez A; Epeldegui A; Martinez J Codina J; de Pablo C; Moya JL ADDRESS: Servicio de Cardiologia, Hospital Ramon y Cajal, Madrid. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Spa ABSTRACT: We present a case of a sinus of Valsalva aneurysm ruptured into right atrium secondary to aortic endocarditis. Early surgical procedure was indicated bases on transthoracic echocardiography. This technique demonstrated a abscess image enlarged into the right atrium and color Doppler showed a turbulent flow from aortic valve to right atrium. Cardiac surgery was performed with transesophageal echocardiography monitoring. This technique allowed anatomical and functional aortic valve evaluation and the abscess location and extension. This case shows the value of transthoracic and transesophageal color Doppler echocardiography in the diagnosis and management of patients with complications secondary to infective endocarditis. SOURCE: Rev Esp Cardiol 1991 Oct;44(8):560-2 25 NLM CIT. ID: 92114284 TITLE: Infective endocarditis causing acute myocardial infarction by compression of the proximal left coronary artery due to a mycotic aneurysm of the sinus of Valsalva. AUTHOR: Koike S; Morimoto M; Furuta S; Sasaki Y; Furihata Y Furihata A; Takayama S ADDRESS: Second Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: An extremely unusual case of myocardial infarction associated with infective endocarditis (IE) is described. A 38-year old male with a high fever was transferred to our hospital for further treatment of IE. Two-dimensional echocardiogram showed a large mycotic aneurysm of the sinus of Valsalva in contact with neighbouring structures. The patient had a rapid recovery within several days after administration of antibiotic agents. However, he then developed abrupt onset of severe precordial pain. From the echocardiogram images and biochemical evaluation he was diagnosed as having an acute subendocardial infarction. Serial echocardiograms revealed expansion of the aneurysm, extending from the myocardium of the anterolateral free wall to the lower margin of the proximal left coronary artery. The cause of acute myocardial infarction was thought to be incomplete occlusion of the coronary artery through compression by the enlarging mycotic aneurysm of the sinus of Valsalva. Urgent surgery confirmed compression of the left coronary artery by the large mycotic aneurysm as the cause of acute myocardial infarction. SOURCE: Jpn Circ J 1991 Dec;55(12):1228-32 26 NLM CIT. ID: 92100945 TITLE: [The 2-dimensional and Doppler color echocardiographic study of a congenital aneurysm of the sinus of Valsalva with a fistula of the right atrium in an adult] AUTHOR: Madariaga JA; Barrenetxea JI; Castellanos E Alcibar J; Salcedo A; Palomar S; Serrano A; Lekuona I ADDRESS: Seccion de Cardiologia, Hospital de Galdakao. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Spa ABSTRACT: This report describe a 69-year old woman with a congenital aneurysm of the non-coronary sinus of Valsalva ruptured in the right atrium, causing severe hemodynamic derangement of the right ventricle. The site of the communication between the aneurysm and the receiving chamber was accurately diagnosed by two-dimensional color flow Doppler imaging which provided more valuable preoperative information than conventional aortography. SOURCE: Rev Esp Cardiol 1991 Aug-Sep;44(7):488-90 27 NLM CIT. ID: 92075289 TITLE: Multifaceted echocardiographic approach to the diagnosis of a ruptured sinus of Valsalva aneurysm. AUTHOR: Katz ES; Kronzon I; Feit F; Attubato M Rosenzweig BP; Cziner DG ADDRESS: Department of Medicine, New York University Medical Center. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: J Am Soc Echocardiogr 1991 Sep-Oct;4(5):494-8 28 NLM CIT. ID: 92075287 TITLE: Unruptured noncoronary sinus of Valsalva aneurysm: preoperative characterization by transesophageal echocardiography. AUTHOR: Blackshear JL; Schaff HV; Freeman WK; Lane GE Safford RE ADDRESS: Section of Cardiovascular Diseases, Mayo Clinic, Jacksonville, FL 32224. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: We describe a patient with a large unruptured sinus of Valsalva aneurysm that was discovered incidentally. Transesophageal echocardiography was used to characterize the aneurysm preoperatively, and was helpful intraoperatively in assessment of the degree of native aortic valvular regurgitation after repair. The use of transthoracic echocardiography, contrast echocardiography, Doppler echocardiography, and transesophageal echocardiography are discussed in this condition. SOURCE: J Am Soc Echocardiogr 1991 Sep-Oct;4(5):485-90 29 NLM CIT. ID: 92060383 TITLE: Successful surgical repair of a ruptured aneurysm of the sinus of Valsalva in early pregnancy. AUTHOR: Pamulapati M; Thadani U; Stelzer P; Teague S ADDRESS: University of Oklahoma Health Sciences Center, Oklahoma City. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Ann Intern Med 1991 Dec 1;115(11):880-2 30 NLM CIT. ID: 92058723 TITLE: Rupture of congenital sinus of Valsalva aneurysm in a newborn. AUTHOR: Perry LW; Midgley FM; Galioto FM Jr; Martin GR ADDRESS: Department of Pediatric Cardiology, Children's National Medical Center, Washington, D.C. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am J Cardiol 1991 Nov 1;68(11):1255-6 31 NLM CIT. ID: 92046887 TITLE: [A case of ruptured aneurysm of Valsalva sinus into right atrium with peculiar findings on aortography] AUTHOR: Watanabe M; et al; Takase S; Ono T; Sato Y Midorikawa H; Satokawa H; Tanji M; Hagiwara K; Igari T; Iwaya F ADDRESS: Department of Cardiovascular Surgery, Fukushima Medical College. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn ABSTRACT: A 24-year-old man with ruptured aneurysm of sinus of Valsalva into the right atrium originating from the noncoronary sinus is presented. On aortography through the ascending aorta the right atrium in systolic phase and the right ventricle in diastolic phase were opacified. We considered ruptured aneurysm like a streamer (wind sock) entered into the right ventricle in diastolic phase and into the right atrium in systolic phase. Post-aneurysmectomy course was uneventful, and radiographic examination revealed complete repair of the aneurysm. SOURCE: Kyobu Geka 1991 Oct;44(11):933-6 32 NLM CIT. ID: 92030582 TITLE: Echocardiographic diagnosis of a ruptured aneurysm of the sinus of Valsalva: operation without catheterisation in seven [letter; comment] AUTHOR: Sullivan ID; De Leval MR COMMENTS: Comment on: Br Heart J 1990 Sep;64(3):195-8 PUBLICATION TYPES: COMMENT LETTER LANGUAGE: Eng SOURCE: Br Heart J 1991 Sep;66(3):258 33 NLM CIT. ID: 91362854 TITLE: [Mycotic aneurysm of the sinus of Valsalva and complete atrioventricular block complicating infectious endocarditis with aortic regurgitation: a case report] AUTHOR: Abe M; Hiwada K; Sumimoto T; Shigematsu Y Fujiwara Y; Hamada M ADDRESS: Second Department of Internal Medicine, Ehime University School of Medicine. PUBLICATION TYPES: JOURNAL ARTICLE REVIEW REVIEW OF REPORTED CASES LANGUAGE: Jpn ABSTRACT: A patient with a mycotic aneurysm of the sinus of Valsalva and heart block secondary to infectious endocarditis was described. This 46-year-old man was admitted to our hospital on May 9, 1990, because of fever and progressive general malaise after extraction of a tooth. Physical examination on admission revealed blood pressure of 98/62 mmHg, pulse rate 96 per min, temperature 37.7 degrees C and respiration 35 per min. Auscultation of the heart revealed a grade 3/6 systolic murmur and a grade 2/6 diastolic murmur at the third left intercostal space. Chest radiograph showed mild cardiomegaly with moderate lung congestion. Electrocardiography revealed the first grade atrioventricular block. Echocardiography demonstrated vegetations on the aortic valve, and perforation of the non-coronary sinus of Valsalva. The prolapsed non-coronary sinus of Valsalva extended into the right atrium. Doppler echocardiography revealed a severe aortic regurgitant jet in the diastolic phase. We diagnosed the patient as having aortic regurgitation with a mycotic aneurysm of the non-coronary sinus of Valsalva due to infectious endocarditis. His condition remained severely ill despite intensive medical treatment. On May 14, 1990, aortic valve replacement and excision of the mycotic aneurysm were performed. The commissural portions of the aortic cusps were heavily thickened and calcified. The mycotic aneurysm was very fragile. During manipulating the mycotic aneurysm, the sinus accidentally perforated into the right atrium. The cardioaortic fistula was closed with a goretex patch. A demand pacemaker was implanted because of postoperative complete atrioventricular block.(ABSTRACT TRUNCATED AT 250 WORDS) SOURCE: J Cardiol Suppl 1991;25:187-94; discussion 195-6 34 NLM CIT. ID: 91336869 TITLE: [Congenital left sinus of Valsalva aneurysm] AUTHOR: Simoes MV; Miziara HL; Barbato D; Figueira RR ADDRESS: Faculdade de Ciencias da Saude da UnB e Hospital de Base do Distrito Federal, Ribeirao Preto, SP. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Por ABSTRACT: Two cases of left sinus of Valsalva congenital aneurysm (SVCA), incidentally found are described. The authors call attention on rarity of them, and present new concepts about their morphogenesis and incidence. They also suggested a higher incidence of asymptomatic and undiagnosed cases of SVCA should be considered. SOURCE: Arq Bras Cardiol 1991 Jan;56(1):57-9 35 NLM CIT. ID: 91331665 TITLE: Aneurysm of the left sinus of Valsalva causing severe mitral regurgitation. AUTHOR: Kumar RR; Goel PK; Radhakrishnan S ADDRESS: Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A 24-year-old male presented with exertional dyspnoea of one year's duration. Echocardiography revealed an unruptured aneurysm of the left sinus of Valsalva distorting the mitral valvar apparatus and producing severe regurgitation in the absence of myocardial ischemia or infarction. We propose an alternate mechanism for the mitral regurgitation. SOURCE: Int J Cardiol 1991 May;31(2):245-7 36 NLM CIT. ID: 91247940 TITLE: Sinus of Valsalva aneurysm eroding into the interventricular septum. AUTHOR: Raffa H; Kayali MT; Sorefan AA; Mosieri J ADDRESS: King Fahad Heart Center, Jeddah, Saudi Arabia. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: We report a case of erosion of an aneurysm of the right sinus of Valsalva into the interventricular septum. The mode of presentation, the preoperative evaluation, and the echocardiographic and nuclear magnetic resonance imaging features are presented, and the cardiac catheterization findings and surgical management of this very rare cardiac pathology are discussed. SOURCE: Ann Thorac Surg 1991 Jun;51(6):996-8 37 NLM CIT. ID: 91216402 TITLE: [Aneurysm of the left sinus of Valsalva with fistula in the right atrium. A case report] AUTHOR: Arturi E; Alcini E; Gabrielli F ADDRESS: Insegnamento di Semeiotica, Cardiovascolare III, Universita degli Studi di Roma, La Sapienza. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ita ABSTRACT: A case of an aneurysm of the left sinus of Valsalva ruptured in the right atrium is reported. This anomaly was diagnosed in a 30 year old woman who had a continuous systo-diastolic murmur and no signs of cardiac failure. The diagnosis of aneurysm of the left sinus of Valsalva was been determined using 2-D echocardiography, Cardioangiography, in addition, enabled us to recognize the fistula which connected the left sinus of Valsalva with the right atrium. The rarity of this case is supported by two pieces of data: A) aneurysms of the left sinus of Valsalva are the rarest of the sinus of Valsalva aneurysms; B) generally the sinus of Valsalva aneurysms rupture into the adjacent cardiac cavities, while the anomalous fistolous conduits are quite uncommon. The case reported confirms that from an aneurysm of the sinus of Valsalva an atypical fistolous conduit may arise. This could be detected by cardioangiography. In addition echocardiography, is very important, at least as a preliminary examination, for the diagnosis of the sinus of Valsalva aneurysms. SOURCE: G Ital Cardiol 1990 Oct;20(10):976-80 38 NLM CIT. ID: 91090400 TITLE: [Non-ruptured calcified aneurysm of the Valsalva's sinus with angina pectoris and aortic insufficiency. Surgical treatment] AUTHOR: Varin J; Fouchard J; Chapsal J; Gorce M; Orion L Forman J; Donzeau Gouge P ADDRESS: Service des Maladies cardiovasculaires, Hopital Cochin, Paris. PUBLICATION TYPES: JOURNAL ARTICLE REVIEW REVIEW OF REPORTED CASES LANGUAGE: Fre ABSTRACT: We report a case of aneurysm of the straight frontal, and not coronary, aortic sinus, non ruptured and calcified, responsible for a refractory angina pectoris and a massive aortic failure in a 71 year old woman. The surgical treatment consisted in the exclusion of the aneurysm of the aortic sinus by a tubular prosthesis in which only two thirds of the circumference have been used, associated with the replacement of an aortic valve by a bioprosthesis, without associated coronary by-pass. SOURCE: Ann Cardiol Angeiol (Paris) 1990 Sep;39(7):411-5 39 NLM CIT. ID: 91063349 TITLE: Fatal intrapericardial rupture of sinus of Valsalva aneurysm. AUTHOR: Brabham KR; Roberts WC ADDRESS: Pathology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD 20892. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am Heart J 1990 Dec;120(6 Pt 1):1455-6 40 NLM CIT. ID: 91030319 TITLE: Rapid detection of a giant aneurysm of right sinus of Valsalva by radioisotopic angiography. AUTHOR: Ishimura J; Fukuchi M ADDRESS: Department of Nuclear Medicine, Hyogo College of Medicine, Nishinomiya, Japan. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng REGISTRY NUMBERS: 0 (Technetium Tc 99m Aggregated Albumin) 65454-61-7 (Technetium Tc 99m Pentetate) SOURCE: Clin Nucl Med 1990 Oct;15(10):732-4 41 NLM CIT. ID: 91001037 TITLE: Echocardiographic diagnosis of a ruptured aneurysm of the sinus of Valsalva: operation without catheterisation in seven patients [see comments] AUTHOR: Sahasakul Y; Sakiyalak P; Chaithiraphan S Panchavinnin P COMMENTS: Comment in: Br Heart J 1991 Sep;66(3):258 ADDRESS: Department of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A ruptured aneurysm of the sinus of Valsalva was diagnosed by Doppler, colour, and cross sectional echocardiography in a consecutive series of seven patients. The diagnoses were confirmed at operation without cardiac catheterisation. Examination by pulsed and continuous Doppler echocardiography showed continuous turbulence in six patients with aneurysms rupturing into the right ventricular outflow tract and in the patient with rupture of an aneurysm of the non-coronary sinus into the right atrium. Colour Doppler echocardiography showed turbulent flow across the defects in all seven patients. A ventricular septal defect with aortic regurgitation was detected in one patient and an associated ventricular septal defect in another. Doppler, colour, and cross sectional echocardiography were useful non-invasive techniques for diagnosing a ruptured aneurysm of the sinus of Valsalva without the need for cardiac catheterisation. SOURCE: Br Heart J 1990 Sep;64(3):195-8 42 NLM CIT. ID: 90348041 TITLE: [Ruptured congenital aneurysm of the sinus of valsalva in the aged] AUTHOR: Imamura M; Murakami T; Kubota H; Uchida H; Aoki H ADDRESS: Department of Thoracic and Cardiovascular Surgery, Asahikawa Municipal Hospital. PUBLICATION TYPES: JOURNAL ARTICLE REVIEW REVIEW OF REPORTED CASES LANGUAGE: Jpn ABSTRACT: Ruptured aneurysm of the sinus of Valsalva is a rare cardiac lesion. A ruptured aneurysm of the sinus of Valsalva in the right ventricle of a 64-year-old man was successfully repaired. The patient was admitted to the hospital with high fever and chest oppression. Diagnosis was made by two dimensional echocardiography, cardiac catheterization, and cardiac angiography. An aortotomy, main pulmonary arteriotomy, and right ventriculotomy were performed. There was no VSD, and the aneurysm originated from the right coronary sinus, rupturing into the right ventricle inlet portion. The ruptured aneurysm of the sinus of Valsalva was closed with a Dacron patch from inside the aorta. He is doing well after surgery. There was no heart murmur. CTR decreased and pulmonary blood flow fell to a normal value. As far as we know, this patient is the second oldest patient in Japan with surgical repair. SOURCE: Kyobu Geka 1990 Jun;43(6):502-4 43 NLM CIT. ID: 90283175 TITLE: [Surgical treatment of congenital aneurysm of the sinus of Valsalva] AUTHOR: Guliamov DS; Sabirov BN; Makhmudov MM PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Rus SOURCE: Grud Serdechnososudistaia Khir 1990;(2):74-5 44 NLM CIT. ID: 90167815 TITLE: Isolated unruptured sinus of Valsalva aneurysm producing right ventricular outflow obstruction. AUTHOR: Haraphongse M; Rossall RE; Jugdutt B; Ayudhya RK ADDRESS: Division of Cardiology, University of Alberta, Edmonton, Canada. PUBLICATION TYPES: JOURNAL ARTICLE REVIEW REVIEW OF REPORTED CASES LANGUAGE: Eng ABSTRACT: An unusual case of right ventricular outflow obstruction and right heart failure due to an isolated unruptured congenital sinus of Valsalva aneurysm originating from the right coronary sinus in a 75-year-old-man is described. The diagnosis was made by two-dimensional echocardiography and cardiac catheterization. Successful surgical resection of the aneurysm resulted in dramatic symptomatic improvement. SOURCE: Cathet Cardiovasc Diagn 1990 Feb;19(2):98-102 45 NLM CIT. ID: 90350674 TITLE: Echocardiographic diagnosis of unruptured aneurysm of the sinus of Valsalva dissecting into the ventricular septum. AUTHOR: Dev V; Shrivastava S ADDRESS: Department of Cardiology, CT Centre, All India Institute of Medical Sciences, New Delhi. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am J Cardiol 1990 Aug 15;66(4):502-3 46 NLM CIT. ID: 90323043 TITLE: Rupture of a sinus of Valsalva aneurysm in a neonate. AUTHOR: Breviere GM; Francart C; Vaksmann G ADDRESS: Department of Paediatric Cardiology, Hopital Cardiologique, France. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A neonate with severe congestive heart failure due to rupture of the right sinus of Valsalva into the right ventricle is described. The initial diagnosis was made with colour Doppler echocardiography and confirmed by aortography. Patch closure of the sinus of Valsalva defect was performed successfully on the 3rd day of life. SOURCE: Eur J Pediatr 1990 Jun;149(9):603-4 47 NLM CIT. ID: 90323038 TITLE: Colour Doppler echocardiography in the diagnosis of ruptured aneurysm of sinus of Valsalva. AUTHOR: Goudevenos J; Cokkinos D; Reid P; Williams D Ka-Ratasakis G; Chronopoulos DG; Kouvaras G ADDRESS: Cardiothoracic Unit, Freeman Hospital, Newcastle upon Tyne, England. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: In this report we present three cases of ruptured aneurysm of sinus of Valsalva which were detected by colour Doppler echocardiography. The diagnosis was confirmed by cardiac catheterization and at operation. SOURCE: Eur Heart J 1990 Jul;11(7):666-9 48 NLM CIT. ID: 90307357 TITLE: Cross-sectional echocardiographic diagnosis of discrete subaortic stenosis, ruptured congenital aneurysm of the right sinus of Valsalva, unruptured aneurysm of non-coronary sinus and a rudimentary left aortic leaflet. AUTHOR: Mohan JC ADDRESS: Department of Cardiology, G.B. Pant Hospital, New Delhi, India. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A 7-year-old asymptomatic male child was found to have a shelf-like subaortic stenosis, congenital aneurysm of the right sinus of Valsalva communicating with the right ventricular outflow tract, an unruptured aneurysm of the non-coronary sinus and a small left aortic sinus with a rudimentary valvar leaflet causing moderate aortic regurgitation. The diagnosis was made by cross-sectional and Doppler echocardiography and confirmed by cineangiocardiography. SOURCE: Int J Cardiol 1990 Jul;28(1):122-5 49 NLM CIT. ID: 90297011 TITLE: Left sinus of Valsalva aneurysm with rupture into the left ventricular outflow tract: diagnosis by color-encoded Doppler imaging. AUTHOR: Rothbart RM; Chahine RA ADDRESS: Division of Cardiology, University of Miami School of Medicine, Fla. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am Heart J 1990 Jul;120(1):224-7 50 NLM CIT. ID: 90256915 TITLE: Isolated aneurysm of the left sinus of Valsalva. Rupture into the left atrium, left ventricle and dynamic coronary constriction. AUTHOR: Glock Y; Puel P; Bounhourne JP; Fauvel JM; Puel J Ferrarini JM ADDRESS: Department of Cardiovascular Surgery, Rangueil University Hospital, Toulouse, France. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Aneurysms of the left sinus of Valsalva are exceptional. They may cause aortic regurgitation and may rupture into an extra or intra-cardiac location. We report an aneurysm of the left Sinus of Valsalva associated with 3 unusual complications: rupture into the left atrium, infected rupture into the left ventricle inducing aortic regurgitation and compression of the left circumflex coronary artery. These caused cardiac failure, coronary insufficiency and paroxysmal ventricular fibrillation. A review of the literature on the LASV has been undertaken. SOURCE: J Cardiovasc Surg (Torino) 1990 Mar-Apr;31(2):235-8 51 NLM CIT. ID: 90226922 TITLE: Thrombosed saccular aneurysm of a sinus of Valsalva: unusual cause of a mediastinal mass. AUTHOR: Reid PG; Hilton CJ; Goudevenos JA ADDRESS: Regional Cardiothoracic Unit, Freeman Hospital, Newcastle upon Tyne. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A 33 year old man presented with a short history of slight fever and chest pain that was worse on inspiration. An electrocardiogram was consistent with pericarditis. Chest radiography, echocardiography, and computed tomography suggested the presence of a mediastinal tumour. At operation the mass was found to be attached to the right sinus of Valsalva and proved to be a large saccular aneurysm full of laminated thrombus. SOURCE: Br Heart J 1990 Mar;63(3):183-5 52 NLM CIT. ID: 90226773 TITLE: [Ruptured aneurysm of the sinus of Valsalva into the right ventricle--apropos of a case] AUTHOR: Torres S; Pimenta A; Gomes L; Martins L; Pereira LS ADDRESS: Servico de Cardiologia, Hospital Geral de Santo Antonio, Porto. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Por ABSTRACT: A 37 year old man was referred to our institution because of a cardiac murmur, exertional dyspnea and fatigue, symptoms that began since 18 years of age. He reported a cardiac murmur since childhood, with no past history of rheumatic fever or infectious endocarditis. On clinic examination there was a systolic-diastolic murmur louder in the third and fourth left intercostal space, just at the sternal left border. The 2 D-echo revealed a small disruption in the aorto-septal continuity. Right heart catheterisation was performed, showing an increased pressure in the pulmonary artery and right ventricle; an increase in the oxygen saturation on the right heart chambers, suggested the presence of a left-to-right shunt, nevertheless the exact location of the defect was not possible to recognise. The study was complemented with Doppler color flow imaging that revealed a turbulent flow through the defect, with blood flowing from the aortic root into the right ventricular outflow tract. The diagnosis of ruptured aneurysm of sinus of Valsalva was made, being confirmed later by aortic angiography. A rare case is reported in which an aneurysm of the right coronary sinus ruptured into the right ventricle; we emphasize the important contribution of the Doppler color flow imaging to the correct diagnosis, technique rarely described in this type of complication. SOURCE: Rev Port Cardiol 1990 Jan;9(1):51-5 53 NLM CIT. ID: 90167807 TITLE: Ruptured aneurysm of the sinus of Valsalva [letter; comment] AUTHOR: Chow WH; Cheung KL; Mok CK; Tai YT COMMENTS: Comment on: Cathet Cardiovasc Diagn 1989 Jul;17(3):172-4 PUBLICATION TYPES: COMMENT LETTER LANGUAGE: Eng SOURCE: Cathet Cardiovasc Diagn 1990 Feb;19(2):148 1 NLM CIT. ID: 87205428 TITLE: [Congenital aneurysm of the sinus of Valsalva with perforation into the right ventricle] AUTHOR: Herter M; Becher H; Harden T PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ger SOURCE: ROFO Fortschr Geb Rontgenstr Nuklearmed 1987 Apr;146(4):468-70 2 NLM CIT. ID: 85140065 TITLE: [Acquired aortopulmonary fistula, unusual development of Valsalva's sinus aneurysm (letter)] AUTHOR: Bazelly B; Vanetti A; Fischer M; Guiomard A Hecquet P; Gaillard D; Robinault J PUBLICATION TYPES: LETTER LANGUAGE: Fre SOURCE: Presse Med 1985 Jan 19;14(2):103-4 3 NLM CIT. ID: 88273679 TITLE: Two-dimensional echocardiographic detection of a left sinus of Valsalva aneurysm. AUTHOR: Danchin N; Pernot C; Nizak J; Amrein D; Le Helloco A ADDRESS: Division of Cardiology, CHU Nancy-Brabois, France. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: JCU J Clin Ultrasound 1987 Sep;15(7):479-82 4 NLM CIT. ID: 87099118 TITLE: [Aneurysm of the sinistro-anterior sinus of Valsalva causing coronary insufficiency. Apropos of a case] AUTHOR: Le Helloco A; Pernot C; Nizak J; Amrein D; Danchin N PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Fre ABSTRACT: The aneurysm of the sinistro-anterior sinus of Valsalva (ASASV) can very rarely be disclosed by symptoms of coronary insufficiency. The authors report the case of a 73 old man suffering from unstable angina pectoris, in whom the diagnosis of ASASV was evoked by two-dimensional echocardiography and confirmed by aortography. Coronary angiography revealed an external compression of IVA by the ASASV and allowed to exclude the presence of associated autonomous coronaropathy. The interest of this observation lies in the fact that the preoperative diagnosis was made after the two-dimensional echocardiography allowing the evaluation of the importance and volume of the ASASV. Aortography and coronary angiography are indispensable procedures in the presence of chest pain suspect of coronary insufficiency. These investigations will guide the surgical treatment which should always associate a closure of the aneurysmal neck, an aortic valvular replacement and a bypass of the compressed coronary artery. SOURCE: Arch Mal Coeur Vaiss 1986 Sep;79(10):1515-20 5 NLM CIT. ID: 86322286 TITLE: [Aneurysm of the sinus of Valsalva in children and young adults. Apropos of 9 cases] AUTHOR: Rey C; Dupuis C; Ducloux G; Marchand X; Francart C Leroy O PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Fre ABSTRACT: Nine cases (7 boys and 2 girls) of aneurysm of the sinus of Valsalva (SVA) diagnosed before 19 years of age are reported. Group 1 comprised 5 children aged 5 to 14 years without rupture of the aneurysm; 3 had an associated ventricular septal defect (VSD). The diseased sinus was the right anterior sinus in 4 cases and the posterior sinus in one case. The diagnosis was made by 2D echocardiography, performed in 3 patients for follow-up of a VSD and in 2 patients to investigate a systolic murmur. Group 2 comprised 4 patients under 19 years of age with SVA which ruptured into in the right heart cavities. One of these patients had a known right anterior SVA diagnosed at angiography performed to investigate a VSD when the child was 4 years old. The rupture occurred suddenly when the child was 14. These cases of SVA involved the right anterior sinus with rupture into the right ventricle (3 cases) and the posterior non-coronary sinus with rupture into the right atrium (1 case). A rupture syndrome was observed in 3 of the 4 patients with pulmonary oedema in 2 cases. The authors emphasise the rarity of SVA diagnosed before rupture and the low frequency of rupture before adulthood. Echocardiography is certainly the best method for diagnosing the condition and for following up these patients. SOURCE: Arch Mal Coeur Vaiss 1986 May;79(5):668-75 6 NLM CIT. ID: 89227441 TITLE: [Ruptured aneurysm of the sinus of Valsalva. Presentation of 4 cases and review of the literature] AUTHOR: Valencia Sanchez JS; Villalpando Gutierrez J Navarro Robles J ADDRESS: Division de Cardiologia del Hospital de Cardiologia Luis Mendez, del Centro Medico Nacional, Mexico, D.F. PUBLICATION TYPES: JOURNAL ARTICLE REVIEW REVIEW OF REPORTED CASES LANGUAGE: Spa ABSTRACT: We studied four patients with ruptured aneurysms of the sinus of Valsalva. All were men with a mean age of 33 years. The presenting illness was insidious in three and of abrupt onset in one. Physical examination showed a continuous murmur in all. Chest X ray film showed moderate cardiomegaly. Electrocardiogram disclosed left ventricular hypertrophy. Echocardiogram revealed the site of the rupture which was corroborated by aortography. Two aneurysms ruptured to the right ventricle and two to the right atrium. All were corrected by surgery. All patients became asymptomatic. SOURCE: Arch Inst Cardiol Mex 1988 Nov-Dec;58(6):551-6 7 NLM CIT. ID: 89204833 TITLE: [Surgical correction of rupture of aneurysm of the sinus of Valsalva] AUTHOR: Pokrovskii AV; Sultanaliev TA; Gorianina NK Kazanchian PO PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Rus ABSTRACT: Operations were performed on 48 patients with aneurysms of the thoracic aorta, one of them had a rupture of aneurysm of the noncoronary sinus followed by the formation of a fistula between the aorta and the right atrium. The fistula was ligated by an access through the right atrium with good nearest and long-term results. SOURCE: Vestn Khir 1988 Oct;141(10):13-6 8 NLM CIT. ID: 89163614 TITLE: [Intrapericardial rupture of an aneurysm of the right anterior sinus of Valsalva: clinical case and review of the literature] AUTHOR: Defraigne JO; Limet R; Demoulin JC; Dekoster G ADDRESS: Services de Chirurgie Cardio-Vasculaire, Centre Hospitalier Universitaire, Sart Tilman, Liege. PUBLICATION TYPES: JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL LANGUAGE: Fre ABSTRACT: Intrapericardial ruptured aneurysm of the right anterior sinus of Valsalva. A intrapericardial ruptured aneurysm of the right anterior sinus of Valsalva is presented. An infectious origin was suspected. The aneurysm was treated by plication, which allowed to correct the preoperative insufficiency. Aneurysms of the Valsalva sinus can remain asymptomatic. When they are small, a conservative treatment is conceivable. Many complications can occur: rupture (more often in right cavities), aortic insufficiency, coronary insufficiency, cardiac failure, rhythm disturbances. This complications necessitate a surgical treatment. Aortic valvular replacement is indicated only when the structure of the valve is altered. SOURCE: Acta Chir Belg 1988 Nov-Dec;88(6):369-74 9 NLM CIT. ID: 88311900 TITLE: Accurate localization of ruptured sinus of Valsalva aneurysm by real-time two-dimensional Doppler flow imaging. AUTHOR: Chow LC; Nicod PH; Dembitsky WP; Dittrich HC ADDRESS: Division of Cardiology, University of California, San Diego Medical Center 92103. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: The surgical approach to the repair of a ruptured sinus of Valsalva aneurysm can depend on the cardiac chamber into which rupture occurs. This report details the color flow Doppler images in two patients who developed a right sinus of Valsalva aneurysm to right atrial fistula owing to bacterial endocarditis. In both cases, the color flow Doppler image was superior to contrast aortography in identifying the chamber into which rupture had occurred. The early experience with real-time two-dimensional Doppler flow imaging suggests that this noninvasive technique is valuable in the management of ruptured sinus of Valsalva aneurysms. SOURCE: Chest 1988 Sep;94(3):462-5 10 NLM CIT. ID: 88207159 TITLE: Group A beta-hemolytic streptococcal endocarditis precipitating rupture of sinus of Valsalva aneurysm: evaluation by two-dimensional, Doppler, and contrast echocardiography. AUTHOR: Cooper MJ; Huey E; Silverman NH ADDRESS: Department of Pediatrics, University of California, San Francisco 94143. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am Heart J 1988 May;115(5):1132-4 11 NLM CIT. ID: 88100535 TITLE: A giant aneurysm of the non-coronary sinus of Valsalva. AUTHOR: Okita Y; Kawamua K; Ishii K; Yamanaka K; Komeda M Tahata T; Ueda Y; Kusuhara K; Miki S ADDRESS: Department of Cardiovascular Surgery, Tenri Hospital, Nara, Japan. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A 54-year-old woman complained of shortness of breath. She was diagnosed to have an aneurysm of the non-coronary sinus and underwent a radical operation. The aneurysm had a diameter of 10 cm. Superior vena cava, right atrium, and right ventricle were severely compressed and deformed. The non-coronary sinus and ascending aorta were reconstructed with a 24 mm Dacron graft using the graft inclusion technique. The ostiums of both coronary arteries were skirted. The postoperative course was uneventful. SOURCE: Thorac Cardiovasc Surg 1987 Oct;35(5):316-7 12 NLM CIT. ID: 85245516 TITLE: Congenital aneurysm of the sinus of Valsalva. Surgical repair in an infant. AUTHOR: Bastos P; Gomes MR; Cunha D; Areias JC; Sousa A PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: We report the case of a 5-month-old infant with cardiac failure and an unruptured aneurysm of the right coronary sinus of Valsalva. Emphasis is put on the diagnostic value of the echocardiogram. Cardiac failure was probably due to a combination of aortic regurgitation and compression of the outflow tract of the right ventricle. The surgical approach is discussed. The defect was repaired through an aortotomy. The aneurysmal sac was resected and an aortic valvuloplasty was performed. Twelve months postoperatively the patient continues to be asymptomatic; an aortic root angiogram shows only trivial aortic insufficiency. SOURCE: Thorac Cardiovasc Surg 1985 Apr;33(2):125-7 13 NLM CIT. ID: 90088176 TITLE: [Congenital aneurysm of the sinus of Valsalva. II. Embryology] AUTHOR: Miguel Junior A; Ruggeri GB; Curti HJ PUBLICATION TYPES: JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL LANGUAGE: Por SOURCE: Arq Bras Cardiol 1989 Mar;52(3):159-62 14 NLM CIT. ID: 90088155 TITLE: [Congenital aneurysm of the sinus of Valsalva. I. Anatomy] AUTHOR: Miguel Junior A; Ruggeri GB; Curti HJ PUBLICATION TYPES: JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL LANGUAGE: Por SOURCE: Arq Bras Cardiol 1989 Feb;52(2):103-6 15 NLM CIT. ID: 89391225 TITLE: [Aortic insufficiency with Valsalva's sinus aneurysm and Lobstein's disease (letter)] AUTHOR: Guenot O; Guerot C; Laperche T; Cristofini P Hagege A; Desnos M PUBLICATION TYPES: LETTER REVIEW REVIEW OF REPORTED CASES LANGUAGE: Fre SOURCE: Ann Med Interne (Paris) 1989;140(4):333-4 16 NLM CIT. ID: 90212229 TITLE: [Aneurysm of the Valsalva sinus. Echocardiographic diagnosis. Apropos of a case of long post-rupture survival] AUTHOR: Lourenco A; Pereira L; de Sousa M; Almeida J Pereira A PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Por ABSTRACT: The authors present a case of aneurysm of the right sinus of Valsalva with rupture and aorto-cardiac shunt to the exit chamber of right ventricle. Based on clinical information, one can assume that it could be a case which has been with few symptoms for a period of seven years or more. The diagnosis was made possible due to the images obtained by M mode and two dimensional echocardiography, which allowed an unmistakable view of an aneurysmatic dilatation and the site of the rupture which was confirmed later by Doppler echocardiography with colour codification and and anatomical assessment at surgery. SOURCE: Rev Port Cardiol 1989 Jul-Aug;8(7-8):527-30 17 NLM CIT. ID: 90180815 TITLE: Doppler color flow mapping detection of ruptured sinus of Valsalva aneurysm. AUTHOR: Peters P; Gunther S; Juziuk E ADDRESS: Department of Medicine (Cardiology), Harper Hospital, Detroit, MI 48201. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: J Am Soc Echocardiogr 1989 May-Jun;2(3):195-7 18 NLM CIT. ID: 90165593 TITLE: [Clinico-pathologic manifestations of ruptured aneurysm of the sinus of Valsalva] AUTHOR: Roldan Conesa DF; Verdejo Paris J; Guerra Lopez A ADDRESS: Instituto Nacional de Cardiologia Ignacio Chavez, Tlalpan, Mexico, D.F. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Spa ABSTRACT: The clinical files from the National Institute of Cardiology "Ignacio Chavez" were reviewed, we found 26 corroborated cases of ruptured aneurysms Valsalva's sinus. There is predominance of the male sex in proportion 3:1 and the median age when the diagnosis was made was 22 years. 77% of these cases were in N.Y.H.A. clinical class I or II and the main symptom was dyspnoea on exertion. On the physical examination a continuous murmur or sistolo-diastolic murmur was heard over precordium in 92% of the cases and a hyperkinetic circulatory regimen. Only in 23% of these patients the diagnosis was suspected and the more common confusion was with the V.S.D. associated with aortic incompetence. On the E.K.G. we found data with volumetric overload of the right heart in 15 cases. The hemodynamic study confirmed the diagnosis only in 60%. The aortic valve was substituted for associated incompetence in 12 cases and the pathological study revealed fibromixoid degeneration in 9 cases and only fibrosis in the remaining 3. The sinus of Valsalva more affected was the right coronary and the chamber where the rupture was more frequent was the right ventricle in 73% of the cases. We conclude that the ruptured aneurysms of the Valsalva's sinus is rather frequent among the congenital heart diseases and has particular clinical data and special features in making a precise diagnosis. SOURCE: Arch Inst Cardiol Mex 1989 Nov-Dec;59(6):579-88 19 NLM CIT. ID: 90163303 TITLE: Sudden cardiac death caused by coronary ostial compression by an aneurysm of the sinus of Valsalva. AUTHOR: Henry RE; Barton EN; Daisley H PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A 22-year-old man was asymptomatic until he died suddenly after being startled. Post-mortem examination was normal except for aneurysmal dilatation of the left Sinus of Valsalva, the upper margin of which formed a flap-like ridge, partially occluding the ostium of the left main coronary artery which arose immediately above it. Further compression of this "slit-like" orifice by aneurysmal distention was the proposed cause of myocardial ischaemia and arrhythmic death. SOURCE: West Indian Med J 1989 Dec;38(4):250-2 20 NLM CIT. ID: 90140600 TITLE: Surgical repair of ruptured aortic sinus of Valsalva aneurysm. AUTHOR: Knudsen MA; Paulsen PK ADDRESS: Department of Thoracic and Cardiovascular Surgery, Arhus University Hospital, Denmark. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Surgical repair of ruptured aortic sinus of Valsalva aneurysm was performed on six patients. The NYHA functional class was I in one case, II in three and III in two cases. All aneurysms had ruptured into the right atrium. Three originated from the right, and three from the non-coronary aortic sinus of Valsalva. The preoperative shunt was 55-200% (mean 118%) of the peripheral cardiac output. At aneurysmal repair, closure of secundum-type atrial septal defect was performed in one case and insertion of a St Jude Medical aortic valve in another. There were no perioperative deaths. Five patients were asymptomatic in the follow-up period (5 months-17 years). One patient died of cardiomyopathy 11 years postoperatively. The long-term results after surgical repair of ruptured aortic sinus of Valsalva aneurysm thus were good, and early operation is recommended in order to avoid congestive heart failure. SOURCE: Scand J Thorac Cardiovasc Surg 1989;23(3):225-7 21 NLM CIT. ID: 90132013 TITLE: [A case report of successful repair for ruptured aneurysm of sinus of Valsalva (I VSD) with aortic regurgitation] AUTHOR: Ogawa K; Hattori T; Kidokoro H; Hayase S; Yano Y Koike A PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn ABSTRACT: A nineteen-year-old female who had history of infectious endocarditis underwent surgical repair for ruptured aneurysm of sinus of Valsalva with aortic regurgitation. Through aortotomy mild degree of prolapse of right coronary cusp and perforation of left coronary cusp sized 6 mm in diameter were recognized and the latter was thought to be the dominant lesion resulting in severe aortic regurgitation. Following direct closure of ruptured aneurysm and patch closure of ventricular septal defect, perforated left coronary cusp was repaired with autologous pericardium. Post operative course was uneventful and she is now doing well. SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1989 Nov;37(11):2422-8 22 NLM CIT. ID: 90103937 TITLE: [Syphilitic aneurysm communicating with an aortic sinus of Valsalva. A case report] AUTHOR: Medeiros Sobrinho JH; Arnoni AS; Rubayo EM; Silva MV Pontes Junior SC; Santos MA; Fontes WF; Silva MA PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Por ABSTRACT: The authors present the case of a 27-year old woman with an aneurysm, possibly originating from an ectopic coronary sprout and communicating with the right anterior sinus of Valsalva. Secondary syphilitic lesions were observed. By virtue of its great size and localization, this aneurysm produced obstruction of the outlet of the right ventricle and dislocation of the left coronary artery. The authors conclude that this aneurysm was a congenital anomaly because of its great volume, configuration, the way it opened in the aortic right anterior sinus of Valsalva, the normal aortic wall and valve, and normal sinuses of Valsalva, observed at surgery. The follow-up was uneventful. SOURCE: Arq Bras Cardiol 1989 Jun;52(6):341-4 23 NLM CIT. ID: 90080581 TITLE: [Rupture of congenital aneurysm of the sinus of Valsalva (clinical aspects and diagnosis)] AUTHOR: Podzolkov VP; Makhmudov MM; Dvinianinova NB Guliamov DS; Sabirov BN PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Rus SOURCE: Kardiologiia 1989 Sep;29(9):70-3 24 NLM CIT. ID: 90030389 TITLE: Sinus of Valsalva aneurysm presenting with complete heart block. AUTHOR: Clark VL; Wendt DJ; Hawkins ET ADDRESS: Department of Medicine, Henry Ford Hospital, Detroit, MI 48202. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: An elderly woman presented with sudden unresponsiveness and complete heart block and subsequently expired. Postmortem examination revealed an aneurysm of the right sinus of Valsalva impinging on the cardiac conducting tissue. Only a few cases associated with complete heart block have been previously reported. SOURCE: Cathet Cardiovasc Diagn 1989 Sep;18(1):27-30 25 NLM CIT. ID: 90012884 TITLE: [A case of ruptured aneurysm of the sinus of Valsalva with bacterial endocarditis] AUTHOR: Ozaki T; Matsumoto A; Tobe M; Kajiwara H; Imoto K Adachi R; Kondoh J PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn ABSTRACT: A 21-year-old male with ruptured aneurysm of sinus of Valsalva caused by bacterial endocarditis is presented. The patient complained of palpitation and a attack of fever. Continuous murmur was heard with a thrill at the third intercostal space of the left sternal border. On plain chest x-ray film pulmonary congestion and increase in pulmonary flow were observed. Cardiac catheterization showed step up of oxygen contents at the level of right ventricle and left to right shunt of 36.5%. Aortography demonstrated the aneurysm of the sinus of Valsalva ruptured to right ventricle. The operation was performed by right ventricular approach. Aneurysmal sac was resected and its orifice was closed with mattress sutures. Bacteriological examination at the time of operation revealed Staphylococcus aureus. Postoperative course was uneventful. SOURCE: Kyobu Geka 1989 Sep;42(10):876-8 26 NLM CIT. ID: 89360786 TITLE: [Aneurysm of the left sinus of Valsalva producing obstruction of the left main coronary artery and aortic regurgitation] AUTHOR: Higashi S; Hachiya T; Imamura H; Kawada K; Mitake H PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn ABSTRACT: A 50-year-old male was admitted with dyspnea on exertion and palpitation. On physical examination, a grade 2/6 aortic regurgitant murmur was heard at the left sternal border. A chest roentogenogram showed an oval shadow on the left cardiac border. Digital subtraction angiogram, aortogram and coronary arteriogram revealed an unruptured-large aneurysm of the left sinus of Valsalva, which compressed the left main coronary artery and produced aortic regurgitation. Surgical correction consisted of obliteration of the orifice of the aneursym with woven Dacron graft patch, aortic valve replacement using SJM23A, and a saphenous vein bypass from the ascending aorta to the left anterior descending coronary artery. Postoperative studies showed complete obliteration of the orifice of the aneurysm, a patent aorto-coronary bypass graft and no perivalvular leakage. This aneurysm was considered congenital in origin, because of no inflammatory and infectious evidence, negative serologic test for syphilis and no aneurysmal dilatation of the ascending aorta. SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1989 Mar;37(3):561-6 27 NLM CIT. ID: 89383039 TITLE: [A case of a two-chambered right ventricle associated with aneurysm of the sinus of Valsalva] AUTHOR: Inoue K; Yao H; Kitai K; Suehiro S; Shimizu Y PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn ABSTRACT: A 51-year-old male with a two-chambered right ventricle associated with an aneurysm of sinus of Valsalva, who underwent successful surgical repair without ventriculotomy, is reported. Preoperative right ventriculogram revealed that the right ventricle was divided by the anomalous muscle bundle, and the aneurysm of sinus of Valsalva growing from the right coronary sinus protruded just below the pulmonary valve. The right ventricular pressure was 107/10 mmHg and the pressure gradient between the right ventricle and the pulmonary artery was 88 mmHg. Trans-pulmonary arterial resection of the aneurysm of Valsalva sinus was performed and the anomalous muscle bundle was successfully removed through the pulmonary arteriotomy and the right atrial incision. Post-operative right ventricular pressure dropped to 42 mmHg, and there was no stenosis in the right ventricle. SOURCE: Kyobu Geka 1989 May;42(5):391-4 28 NLM CIT. ID: 89383038 TITLE: [A case report of aneurysm of the sinus of Valsalva due to infectious endocarditis with ASR] AUTHOR: Midorikawa H; et al; Watanabe M; Tanji M; Hagiwara K Ando M; Takano K; Abe T; Igari T; Iwaya F; Hoshino S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn ABSTRACT: A case (56 year-old, female) of the aneurysm of sinus of Valsalva due to infectious endocarditis with aortic stenosis and regurgitation was described. The patient was successfully operated upon by patch closure of the orifice of the aneurysm and aortic valve replacement with Medtronic Hall 23A. Post operative course was uneventful and discharged from the hospital at 37 post operative days in good condition. SOURCE: Kyobu Geka 1989 May;42(5):388-90 29 NLM CIT. ID: 89358359 TITLE: A congenital aneurysm of the non-coronary sinus of Valsalva extending into the wall of the left ventricle. AUTHOR: Chalmers JA; Magee PG; Graham TR ADDRESS: Department of Cardiothoracic Surgery, London Hospital, U.K. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: We describe a congenital aneurysm of the non-coronary sinus of Valsalva which extended into the posterior wall of the left ventricle. SOURCE: Int J Cardiol 1989 Sep;24(3):379-81 30 NLM CIT. ID: 89354512 TITLE: Ruptured aneurysm of the sinus of Valsalva with single coronary artery [see comments] AUTHOR: Goto Y; Yamada K; Moriyama K; Morioka S; Murakmi R Yoshikane H; Matsuno Y COMMENTS: Comment in: Cathet Cardiovasc Diagn 1990 Feb;19(2):148 ADDRESS: Fourth Department of Internal Medicine, Shimane Medical University, Japan. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: This paper will report the case of a patient with an aneurysm of Valsalva's sinus accompanied by single coronary artery (the presence of only a single ostium of the coronary arteries), who survived for 14 years, under conservative treatment, after a rupture of the aneurysm. In this patient the aneurysm of Valsalva's sinus ruptured from the right coronary sinus into the right ventricular outflow tract. The single coronary artery originated from the left coronary sinus, and the right coronary artery branched from the left main trunk and ran dorsally to the aorta. No case of ruptured aneurysm of Valsalva's sinus accompanied by a single coronary artery has been reported in the literature. After 14 years of conservative treatment, the patient was surgically treated by direct suture of the ruptured aneurysm and by aortic valve replacement. The postoperative course was uneventful. SOURCE: Cathet Cardiovasc Diagn 1989 Jul;17(3):172-4 31 NLM CIT. ID: 89347404 TITLE: [Echocardiographic diagnosis of Valsalva's sinus aneurysm] AUTHOR: Mitina IN; Bondarev IuI PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Rus ABSTRACT: Valsalva's sinus aneurysm is a congenital heart disease that may occur both as isolated abnormality or combined with other ailments. The present paper summarizes the results of the use in 20 patients of non-invasive research methods, namely ultrasound cardiography and Doppler's cardiography, in the diagnosis of Valsalva's sinus aneurysms and concomitant heart diseases. Analysis of the findings has shown that the use of ultrasound cardiography in conjunction with pulse Doppler's cardiography permits demonstration with a high accuracy of the direct signs of Valsalva's sinus aneurysm without use of invasive methods, identification of the rupture of its wall and the pathological diastolic blood flow to the cavity corresponding to the rupture. In addition, the application of the above techniques makes it possible to diagnose with a high degree of significance the concomitant abnormalities such as the defects of the interventricular and interatrial septa, aortal valve failure and, in some cases, the signs of concomitant bacterial endocarditis. SOURCE: Ter Arkh 1989;61(4):79-83 32 NLM CIT. ID: 89290867 TITLE: Unruptured aneurysm of sinus of Valsalva: report of 2 cases. AUTHOR: Lokhandwala YY; Kale PA; Kulkarni H; Srinivas A Kaneria V; Sathe S; Rajani R; Khanolkar UB PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: 2 cases of unruptured aneurysm of the sinus of Valsalva are presented. Both the patients had involvement of the right sinus of Valsalva. One of the patients had associated systemic lupus erythematosus (SLE). Such an association has not been described in the literature. Clinical, echocardiographic and the angiographic features have been discussed and literature reviewed. SOURCE: Indian Heart J 1989 Jan-Feb;41(1):68-71 33 NLM CIT. ID: 89283449 TITLE: [A case of anomalous origin of right coronary artery from the left sinus of Valsalva with ventricular aneurysm ventricular tachycardia and paroxysmal A-V block] AUTHOR: Nishimura N; Mori H; Akiyama K; Nishikado A Yamamoto H; Bando S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn ABSTRACT: A 51-year old man was admitted to our hospital, because of syncope. During admission, he had three episodes of syncopal attack. During the episodes, monitor ECG showed two times of ventricular tachycardia and one of paroxysmal A-V block. The left ventriculogram showed dilatation of left ventricle with posterobasal aneurysm, anterobasal and apical hypokinesis. The left coronary artery was normal. The right coronary artery originated from the left sinus of Valsalva and passed through between aortic root and pulmonary trunks. There was no atherosclerotic lesions in both coronary arteries. Non-sustained ventricular tachycardia was induced by triple premature stimulations. The inverse relation between the coupling interval of premature stimulation and the echo interval was recognized. Lidocaine (50 mg IV), Flecainide (300 mg/day), Mexiletine (450 mg/day), and Aprindine (60 mg/day) prevented ventricular tachycardia. Rapid atrial pacing induced paroxysmal A-V block. Permanent pacemaker was implanted because of syncope due to paroxysmal A-V block and ventricular tachycardia was prevented by Aprindine. Recently, the case with anomalous origin of the coronary artery increased by the popularity of coronary angiography. But, this case considered to be rare because of complication with ventricular aneurysm and lethal arrhythmia (ventricular tachycardia and paroxysmal A-V block). SOURCE: Kokyu To Junkan 1989 Jan;37(1):97-100 34 NLM CIT. ID: 89233505 TITLE: Fixed subaortic stenosis with congenital aneurysm of sinus of Valsalva--cross-sectional and Doppler echocardiographic diagnosis of a rare association. AUTHOR: Sundar AS; Shrivastava S; Radhakrishnan S ADDRESS: Department of Cardiology, All India Institute of Medical Sciences, New Delhi. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A 13-year-old girl was diagnosed by cross-sectional and Doppler echocardiography to have the rare combination of congenital aneurysm of the right sinus of Valsalva rupturing into the right ventricular outflow tract and a discrete subaortic fibrous shelf with severe subvalvar stenosis, moderate aortic regurgitation and left ventricular dysfunction. The findings were confirmed at cardiac catheterisation and surgery. SOURCE: Int J Cardiol 1989 Apr;23(1):127-30 35 NLM CIT. ID: 89228814 TITLE: Unruptured aneurysm of the sinus of Valsalva presenting with isolated heart block: echocardiographic diagnosis and successful surgical repair. AUTHOR: Ahmad RA; Watson RD; Sturman S ADDRESS: Department of Cardiology, Dudley Road Hospital, Birmingham. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A 31 year old man presented with intermittent dizziness and electrocardiographic evidence of a severe conduction disturbance, with asystolic pauses of up to six seconds, and was treated by implantation of a permanent pacemaker. Echocardiography showed an enlarging aneurysm of the right sinus of Valsalva extending into the interventricular septum. This was confirmed by aortography, and successful surgical repair was carried out. The characteristic diastolic expansion of the aneurysm and the demonstration of continuity between the septal extension and the related aortic sinus were useful diagnostic features. SOURCE: Br Heart J 1989 Apr;61(4):375-7 36 NLM CIT. ID: 89170782 TITLE: Ruptured aneurysm of sinus of Valsalva co-existing with a single coronary artery. AUTHOR: Chamsi-Pasha H; Logan WF; Gandhi RG ADDRESS: Royal Preston Hospital, Blackpool, U.K. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: The clinical and surgical findings in a 41-year-old male with the unusual co-existence of a ruptured sinus of Valsalva aneurysm and a single coronary artery are described. The literature is reviewed and the significance of a single coronary artery discussed. SOURCE: Eur Heart J 1989 Feb;10(2):180-1 37 NLM CIT. ID: 89164186 TITLE: Late recurrent rupture of a sinus of Valsalva aneurysm. AUTHOR: Hemp JR; Woodworth GR; Harrell JE Jr; Young JN ADDRESS: Cardiac Surgery Service, Samuel Merritt Hospital, Oakland, California. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am J Cardiol 1989 Mar 15;63(11):761-2 38 NLM CIT. ID: 89236845 TITLE: [Successful surgical management of mycotic aneurysm of sinus of Valsalva; a case report] AUTHOR: Watanabe T; Iwa T; Hayashi H; Kawasuji M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1988 Oct;41(11):924-7 39 NLM CIT. ID: 89142190 TITLE: [A giant aneurysm arising from the non-coronary sinus of Valsalva; a case report of successful resection] AUTHOR: Okita Y; Kawamura S; Imamura K; Ishii K; Yamanaka K Komeda M; Tahata T; Ueda Y; Kusuhara K; Miki S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1988 May;41(6):501-4 40 NLM CIT. ID: 89126261 TITLE: [Ruptured aneurysm of the sinus of Valsalva diagnosed by echocardiography] AUTHOR: Molenda W; Wilczynska M; Lacheta W; Tomaszewski P Telichowski C; Ostapczuk S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Pol SOURCE: Kardiol Pol 1988;31(3):189-92 41 NLM CIT. ID: 89084518 TITLE: [Ruptured aneurysm of the sinus of Valsalva] AUTHOR: Brzek V; Podrabsky P; Simek J PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Cze SOURCE: Sb Ved Pr Lek Fak Karlovy Univerzity Hradci Kralove Suppl 1988;31(3):317-20 42 NLM CIT. ID: 89052994 TITLE: [Non-fistulized aneurysm of the right sinus of Valsalva. Pre- and postoperative echocardiographic aspects] AUTHOR: Gaddi O; Barboso G; Manari A ADDRESS: Servizio di Cardiologia, Arcispedale S. Maria Nuova, Reggio Emilia. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ita ABSTRACT: The case considered concerns as 57 year-old patient who was submitted for heart tests because of a slight diastolic aortic murmur and hypertension. Echocardiographic investigation diagnosed an aneurysm of the sinus of Valsalva. The patient underwent a surgical intervention to reconstruct, on a dacron piece, the right sinus of Valsalva from which the aneurysmal cavity originated, retaining the aortic valve. After a short description of the etiology and the natural history of this condition we explain the importance of echocardiographic tests for the diagnosis and post-operative follow-up of these patients who run a high risk of severe and often lethal complications. SOURCE: G Ital Cardiol 1988 May;18(5):400-4 43 NLM CIT. ID: 89049320 TITLE: Surgical repair and long-term results in ruptured sinus of Valsalva aneurysm. AUTHOR: Abe T; Komatsu S ADDRESS: Department of Cardio-Thoracic Surgery, Sapporo Medical College and Hospital, Hokkaido, Japan. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Thirty-one patients with a ruptured sinus of Valsalva aneurysm (SVA) were operated on between January, 1961, and December, 1987. Twenty-five patients (81%) were in New York Heart Association (NYHA) Functional Class III or IV. Coexistent cardiac anomalies included a ventricular septal defect (VSD) in 16 patients (52%) and aortic valve regurgitation in 12 patients (39%). The ruptured SVA originated from the right coronary sinus in 29 patients (94%) and the noncoronary sinus in 2 patients (6%), and drained into the right ventricle in 30 patients (97%). In 6 patients treated recently, we used patches to repair the ruptured SVA and VSD through a double approach, thereby avoiding a ventriculotomy. This method resulted in no recurrent rupture or residual VSD postoperatively. There was one operative death (3%) and 4 late deaths (13%). Of the 26 surviving patients, 22 (85%) were in NYHA Class I at follow-up ranging from 6 months to 26.7 years (mean, 11.1 years). Actuarial survival at 25 years is 85.6 +/- 7.4% (mean +/- standard deviation). Repair of ruptured SVA with a patch through a double approach provides an excellent operative procedure and offers a long-term outcome. SOURCE: Ann Thorac Surg 1988 Nov;46(5):520-5 44 NLM CIT. ID: 89047115 TITLE: Doppler and two-dimensional echocardiographic features of sinus of Valsalva aneurysm. AUTHOR: Chiang CW; Chang CH; Lee YS; Kuo CT; Fang BR; Lin FC ADDRESS: Cardiovascular Division, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Doppler, contrast, and two-dimensional echocardiograms of 12 aneurysms of the sinus of Valsalva in 10 consecutive patients were analyzed in order to highlight the diagnostic features. The diagnosis were confirmed by surgical and/or catheterization findings. The aneurysms had ruptured in 7 of 12 (58%). Two-dimensional echocardiography prior to the contrast studies was able to delineate the aneurysms in 7 of 12 (58%). The contrast studies outlined two additional aneurysms. The right aneurysms directed anteriorly and caudally. The noncoronary aneurysms formed an extraneous lumen at the posterior part of the aortic root, mimicking aortic dissection. Doppler examinations showed systolic and diastolic turbulence in five of six (83%) of the right aneurysms rupturing into the right ventricular outflow tract. Color Doppler echocardiography showed a left ventricular diastolic turbulence emanating from the aneurysm in a case with a noncoronary aneurysm rupturing into the left ventricle. It is concluded that the principal Doppler, contrast, and two-dimensional echocardiographic features usually allow a rapid correct diagnosis of sinus of Valsalva aneurysm. SOURCE: Am Heart J 1988 Nov;116(5 Pt 1):1283-8 45 NLM CIT. ID: 88337526 TITLE: [Congenital heart defect--rupture of an aneurysm of the sinus of Valsalva to the right ventricle] AUTHOR: Voronov AA; Kuksinskii VE; Bobylev NV PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Rus SOURCE: Vestn Khir 1988 Apr;140(4):55-6 46 NLM CIT. ID: 88310601 TITLE: Repair of isolated, symptomatic, sinus of Valsalva aneurysm in a patient with Marfan's syndrome. AUTHOR: Knight JL; Charrette EJ; Jacka M ADDRESS: Queen's University, Kingston, Ontario. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A 29-year-old man with Marfan's syndrome presented with sudden onset of central chest pain radiating to the back. Aortography revealed a massively dilated right sinus of Valsalva aneurysm, with moderate aortic regurgitation. Urgent surgery in the form of a Bentall procedure was successfully carried out. There was no evidence of either aortic rupture or dissection. Acute expansion of the aneurysm must have precipitated the symptoms. The patient was alive and well three months later. SOURCE: Can J Cardiol 1988 Jun-Aug;4(5):214-6 47 NLM CIT. ID: 88284973 TITLE: Non-invasive diagnosis of ruptured sinus of Valsalva aneurysm by pulsed Doppler echocardiography. AUTHOR: Radhakrishnan S; Shrivastava S; Bahl VK ADDRESS: Department of Cardiology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Six cases of ruptured aneurysm of the sinus of Valsalva into the right ventricle, including two post-operative patients with residual murmurs have been reported. Complete diagnosis, including that of residual and associated defects, was made non-invasively using cross-sectional and pulsed Doppler echocardiographic studies. The exact site of rupture was localized by a continuous flow signal in the right ventricle. The diagnosis was subsequently confirmed by cardiac catheterization and angiocardiography in each case. SOURCE: Int J Cardiol 1988 Jun;19(3):374-8 48 NLM CIT. ID: 88227300 TITLE: Sinus of Valsalva aneurysm secondary to aortic valve endocarditis [clinical conference] AUTHOR: Brogdon BG ADDRESS: Department of Radiology, University of Michigan Medical Center, Ann Arbor. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Invest Radiol 1988 Mar;23(3):222-3 49 NLM CIT. ID: 88201261 TITLE: Ruptured congenital aneurysm of the sinus of Valsalva. Clinical manifestations, diagnosis, and results of surgical corrections. AUTHOR: Burakovsky VI; Dvinyaninova NB; Alekian BG Nasedkina MA; Sabirow BN; Podsolkov VP ADDRESS: Bakulev Institute of Cardiovascular Surgery, U.S.S.R. Academy of Medical Sciences, Moscow. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: An experience with the management of 27 cases of ruptured sinus of Valsalva aneurysm is reported from the Bakulev Institute of Cardiovascular Surgery, Moscow. The right coronary sinus was involved in 23 cases and the noncoronary sinus in four cases. Rupture into the right ventricle occurred in 19 cases, whereas eight ruptures entered the right atrium. Twelve patients had a ventricular defect, and 10 patients had aortic regurgitation, requiring leaflet suspension in five patients or valve replacement in five patients. The surgical management and results are presented. SOURCE: J Thorac Cardiovasc Surg 1988 May;95(5):836-41 50 NLM CIT. ID: 88166813 TITLE: Unruptured aneurysm of the sinus of Valsalva presenting with ventricular tachycardia. AUTHOR: Channer KS; George M; Hutter JA ADDRESS: Department of Cardiology Surgery, Bristol Royal Infirmary, U.K. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: We report a case of a large unruptured aneurysm of the right sinus of Valsalva which caused severe right ventricular outflow tract obstruction and presented dramatically with a life threatening ventricular tachycardia. Despite severe aortic incompetence prior to surgery it was possible to resect the aneurysm and repair the aortic root without resort to aortic valve replacement and thus return the anatomy to normal. SOURCE: Eur Heart J 1988 Feb;9(2):186-90 51 NLM CIT. ID: 88147786 TITLE: Ruptured aneurysm of sinus of Valsalva: recognition by Doppler color flow mapping. AUTHOR: Chia BL; Yan PC; Choo MH; Ee BK ADDRESS: Dept. of Medicine, National University Hospital, Singapore. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am Heart J 1988 Mar;115(3):686-8 52 NLM CIT. ID: 87106994 TITLE: [Congenital aneurysm of the sinus of Valsalva] AUTHOR: Sabirov BN PUBLICATION TYPES: JOURNAL ARTICLE REVIEW LANGUAGE: Rus SOURCE: Grudn Khir 1986 Nov-Dec;(6):72-6 53 NLM CIT. ID: 88156005 TITLE: [Operative treatment of an aneurysm of the sinus of Valsalva with rupture into the left ventricle and associated with complete A-V block] AUTHOR: Aoyagi S; Ohishi K; Kosuga K; Hisatomi K PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1987 Dec;40(13):1094-8 54 NLM CIT. ID: 88145572 TITLE: Ruptured aneurysm of sinus of Valsalva. Long-term postoperative follow-up. AUTHOR: Mattila SP; Aho P; Maamies TJ; Meurala H; Ventila M Harjula AL; Kupari M ADDRESS: Department of Thoracic and Cardiovascular Surgery, University Central Hospital, Helsinki, Finland. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Ruptured sinus Valsalva aneurysm was repaired in 13 patients (mean age c. 33 years). Dyspnea, chest pain, fatigue and palpitation were the most common symptoms and systodiastolic murmur, cardiomegaly and pulmonary congestion the most pertinent clinical findings. The pulmonary-to-systemic flow ratio averaged c. 2.5. Associated cardiac anomalies were ventricular septal defect, aortic or mitral regurgitation, aortic coarctation or subvalvular stenosis, tetralogy of Fallot (altogether 8 cases). The origin of the fistula was the noncoronary, right coronary or left coronary sinus (5, 4 and 3 cases) or was not identifiable (1 case). Rupture occurred into the right atrium (6 cases), right ventricle (6) or pulmonary artery (1 case). Repair was undertaken through aortotomy (6 cases), right ventriculotomy (2) or right atriotomy (1) or through aortotomy + right ventriculotomy or atriotomy (4). In one case aortic valve replacement was performed. All survived the operation. Follow-up averaged 9.6 years. Recurrent fistulation, though with small shunt, was found in two cases. Combined two-dimensional and Doppler echocardiography revealed minor cardiac abnormalities in most patients, particularly aortic regurgitation. All the patients were in NYHA function class I or II. SOURCE: Scand J Thorac Cardiovasc Surg 1987;21(3):233-8 55 NLM CIT. ID: 88141803 TITLE: [Surgical treatment of ruptured aneurysm of the aortic sinus of Valsalva] AUTHOR: Kitaura K; Oka T; Oga K; Shirakata S; Sasaki Y Wada Y PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1987 Nov;40(12):998-1002 56 NLM CIT. ID: 88063676 TITLE: [Two surgical cases of large aneurysm of the right sinus Valsalva with aortic regurgitation] AUTHOR: Taniguchi G; Sakakibara H; Matsumoto M; Hirayama T Namba H; Nakahara J PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1987 Aug;40(9):749-54 57 NLM CIT. ID: 88046538 TITLE: Ruptured sinus of Valsalva aneurysm in childhood. AUTHOR: Gleason MM; Pigott JD; Chin AJ; Hardy C ADDRESS: Division of Cardiology, Children's Hospital, Philadelphia, PA. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am Heart J 1987 Nov;114(5):1235-8 58 NLM CIT. ID: 88046528 TITLE: Aneurysm of the sinus of Valsalva: a roentgenologic study of 105 Chinese patients. AUTHOR: Guo DW; Gu ZQ; Lin ML; Cheng TO ADDRESS: Department of Radiology, Shanghai Chest Hospital, China. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Of 105 cases of lesions of the sinus of Valsalva found over a 25-year period at the Shanghai Chest Hospital, 90 were ruptured sinuses or sinus aneurysms and 15 were unruptured aneurysms. The cases were classified roentgenologically according to the method of Sakakibara and Konno: 64.5% were type I, 23.7% type II, 1.1% type IIIv, 6.4% type IIIa, 1.1% type IIIa + v, and 3.2% type IV. A new and simplified method of classification has been devised in the Shanghai Chest Hospital and shows the highest incidence to be the type of aneurysm of the sinus of Valsalva associated with ventricular septal defect. On aortography three types of morphologic changes--aneurysmal formation, enlargement of the sinus with no definite aneurysm, and sinus rupture with no enlargement or aneurysmal formation--are observed. Angiographically, shunting from ruptured sinus or sinus aneurysm begins in middiastole and gradually increases to end diastole. Aortic insufficiency, if present, usually begins in early diastole and extends over the whole diastolic phase in a decrescendo fashion. Special attention should be paid to the differentiation between ruptured sinus of Valsalva with or without aneurysmal formation and ventricular septal defect with aortic insufficiency. SOURCE: Am Heart J 1987 Nov;114(5):1169-77 59 NLM CIT. ID: 88023475 TITLE: [Mitral valve aneurysm associated with aneurysms of the sinus of Valsalva in a patient with Marfan syndrome. Case report] AUTHOR: Stolf NA; Jatene AD; Verginelli G; Pileggi F Bellotti G; de Assis RV; Grinberg M; Mansur A; Fernandes PM PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Por SOURCE: Arq Bras Cardiol 1987 Jan;48(1):53-6 60 NLM CIT. ID: 87325208 TITLE: Repair of intrapericardial rupture of left sinus of Valsalva aneurysm. AUTHOR: Killen DA; Pogson GW Jr; Wathanacharoen S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A 62-year-old man with no history of preexisting heart disease was seen in cardiogenic shock. Prompt cardiac catheterization and aortography revealed pericardial tamponade and aneurysms of the right and left sinuses of Valsalva. Immediate sternotomy relieved the tamponade, which was secondary to an aneurysm of the left sinus of Valsalva rupturing into the transverse pericardial sinus. Endoaneurysmorrhaphy was performed successfully. SOURCE: Ann Thorac Surg 1987 Sep;44(3):310-1 61 NLM CIT. ID: 87285100 TITLE: [Diagnostic value of the echocardiographic study of a patient with a ruptured congenital aneurysm of the sinus of Valsalva associated with other congenital heart defects] AUTHOR: Maciejewski M; Jaszewski R; Zaslonka J; Bolinska H PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Pol SOURCE: Kardiol Pol 1987;30(1):36-41 62 NLM CIT. ID: 87265541 TITLE: [Successful surgical correction of the rupture of a sinus of Valsalva aneurysm into the right ventricle associated with an interventricular septal defect] AUTHOR: Todoric M; Prcovic M; Kamenica S; Dragosavac D Pezo I; Aleksandrov R; Albreht M; Martinovic N; Jablanov J PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Scr SOURCE: Vojnosanit Pregl 1987 Mar-Apr;44(2):148-50 63 NLM CIT. ID: 87218080 TITLE: [Analysis and evaluation of diagnosing ruptured aneurysm of the aortic sinus of Valsalva in different chambers by M-mode and 2D echocardiography] AUTHOR: Liu HY; Chen KQ PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Chi SOURCE: Chung Hua Hsin Hsueh Kuan Ping Tsa Chih 1986 Dec;14(6):327-9, 380 64 NLM CIT. ID: 87213902 TITLE: Traumatic combined valve lesions with aneurysm of the sinus of Valsalva causing late onset of heart failure. AUTHOR: Nawa S; Teramoto S; Kurozumi K PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A 23 year old man was operated on because severe incompetence of the aortic, mitral, and tricuspid valve caused congestive heart failure five months after a violent steering wheel injury. The following abnormalities were found at operation: a disrupted right coronary cusp, a torn chorda of the anterior mitral leaflet, a dilated tricuspid annulus, and an intimal tear on the aortic root near the right coronary ostium that had developed into an aneurysm of the sinus of Valsalva. SOURCE: Br Heart J 1987 Apr;57(4):377-9 65 NLM CIT. ID: 87192809 TITLE: Rupture of aneurysm of sinus of valsalva diagnosed by contrast echocardiography. AUTHOR: Shah VK; Gandhi MJ; Patwardhan AM; Parikh JA Daruwala DF PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Indian Heart J 1986 Sep-Oct;38(5):418-20 66 NLM CIT. ID: 87187451 TITLE: Rupture of an aneurysm of the aortic sinus of Valsalva into the right ventricle. A case presenting an unusual hemodynamic manifestation. AUTHOR: Anzai N; Iida Y; Akiyama K; Tuchida K; Yamada M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Rupture of an aneurysm of the aortic sinus of Valsalva into the right ventricle is described. Surgery revealed a small aneurysm ruptured into the right ventricle near the tricuspid valve without aneurysmal involvement of the tricuspid valve. The cineangiogram revealed a shunt from the aortic sinus into the right atrium not during systole but during diastole, and increased oxygen saturation was found in the right atrium. The unusual hemodynamics in this case was most probably due to the closure of the small aneurysmal opening due to myocardial contraction during systole, so that the shunt flow through the aneurysmal tract occurred only during diastole and was directed toward the right atrium due to the location of the aneurysm. Thus, even without aneurysmal involvement of the tricuspid valve or tricuspid regurgitation, the oxygen saturation increased in the right atrium. SOURCE: Cardiology 1987;74(2):147-50 67 NLM CIT. ID: 87170986 TITLE: [Aneurysm of the aortic sinus of Valsalva] AUTHOR: Merzlikin LA; Rikhter EL; Borisova AG PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Rus SOURCE: Klin Med (Mosk) 1987 Jan;65(1):140-2 68 NLM CIT. ID: 87163593 TITLE: [Rupture of a congenital aneurysm of the sinus of Valsalva (clinical picture, diagnosis and treatment)] AUTHOR: Burakovskii VI; Alekian BG; Nasedkina MA; Sabirov BN Podzolkov VP PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Rus SOURCE: Grudn Khir 1987 Jan-Feb;(1):5-11 69 NLM CIT. ID: 87161010 TITLE: Doppler echocardiographic detection of a ruptured acquired aneurysm of the sinus of Valsalva. Clinical-morphologic correlations. AUTHOR: Ryan T; Feigenbaum H; Armstrong WF; Waller BF Markel ML PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Two-dimensional, pulsed Doppler echocardiographic and pathologic features of an unusual form of ruptured aneurysm of the sinus of Valsalva are presented. The presence of an aneurysm of the left sinus of Valsalva protruding into the left atrium complicating acute aortic valvular endocarditis was detected by two-dimensional echocardiography. Rupture of the aneurysm of the sinus of Valsalva into the left atrial cavity was suggested by pulsed Doppler echocardiography. The size and location of the site of the rupture precluded recognition by two-dimensional echocardiography or contrast angiography. This report illustrates the unique value of pulsed Doppler echocardiography to define the location and direction of intracardiac flow patterns in evaluating patients with an aneurysm of the sinus of Valsalva and suspected rupture. SOURCE: Chest 1987 Apr;91(4):626-9 70 NLM CIT. ID: 87138859 TITLE: Sinus of Valsalva aneurysm complicating bacterial endocarditis in an infant: diagnosis with two-dimensional and Doppler echocardiography. AUTHOR: Shaffer EM; Peschiera AW; Behrendt DM; Beekman RH Snider AR PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Sinus of Valsalva aneurysm is a rare complication of bacterial endocarditis in infancy and childhood. This report describes an infant with congenital aortic stenosis who developed bacterial endocarditis after abdominal surgery and placement of indwelling central venous catheters for long-term parenteral nutrition. Bacterial endocarditis in this infant was complicated by the development of an aneurysm of the left sinus of Valsalva. Surgical intervention was necessary because of gradual expansion of the aneurysm with compression of the adjacent right pulmonary artery and descending aorta. Two-dimensional and Doppler echocardiography proved useful for the initial diagnosis and serial follow-up of this unusual disorder and for its successful surgical management. SOURCE: J Am Coll Cardiol 1987 Mar;9(3):588-91 71 NLM CIT. ID: 87135635 TITLE: Sinus of Valsalva aneurysm associated with multiple conotruncal congenital malformations. AUTHOR: Sundeen JT; Bloom S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A case of rupture of a sinus of Valsalva aneurysm in a middle-aged woman with an unusual assortment of associated conotruncal and other cardiac anomalies is reported. The anomalies included bicuspid aortic valve, aortic sinus aneurysm (ruptured), quadricuspid pulmonic valve, membranous coarctation of the aorta, subclavian and common carotid arteries arising directly from aorta, and atrial septal defect. Excluding the atrial septal defect, these anomalies may be explained by a single embryologic event affecting conobulbar septation and aortic arch development occurring at the level of neural crest development. SOURCE: Hum Pathol 1987 Jan;18(1):96-9 72 NLM CIT. ID: 87119085 TITLE: [Dissecting aneurysm of the ascending aorta and the right sinus of Valsalva with aorto-cardiac fistula] AUTHOR: Petelenz T; Bialkowska B; Iwinski J; Dziatkowiak A PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Pol SOURCE: Przegl Lek 1986;43(8):576-8 73 NLM CIT. ID: 86306422 TITLE: Ruptured aneurysm of the sinus of Valsalva. Report of twenty-eight cases. AUTHOR: Sakiyalak P; Prachuabmoh K; Sriyoschart S; Jootar P Chaithiraphan S; Sahasakul Y PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: J Med Assoc Thai 1986 Jun;69(6):294-300 74 NLM CIT. ID: 86265359 TITLE: Atrial septal aneurysm, ectasia of a sinus of Valsalva and mitral valve prolapse in Marfan's syndrome. AUTHOR: Magherini A; Bartolozzi G; Simonetti L; Bandini F Margiotta C PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am J Cardiol 1986 Jul 1;58(1):172-3 75 NLM CIT. ID: 86265285 TITLE: Right sinus of Valsalva aneurysm presenting as an echocardiographic right atrial mass. AUTHOR: Atay AE; Lawson DL; Bertuso JR; Alpert MA PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am Heart J 1986 Jul;112(1):169-72 76 NLM CIT. ID: 86257967 TITLE: [Aneurysm of the sinus of Valsalva and late rupture of the interventricular septum due to infective endocarditis. Is the two-dimensional echocardiography of endocarditic extension into the interventricular septum possible?] AUTHOR: Pozzi R; Greco-Lucchina P; Mortellaro C; Defacis R Avonto L; Carini G PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ita ABSTRACT: In a 54 year old woman affected by infective endocarditis, with bicuspid aortic valve and aneurysm of sinus of Valsalva protruding into the right atrium, two-dimensional echocardiography helped to identify altered myocardial echo patterns of the interventricular septum at basal level. Because of the proximity with valvular lesions due to endocarditis, we could interpret these appearances as produced by invasion of the infective process into the septum. The autopsy report of septum rupture in the same area further supports our interpretation of the echocardiographic finding. SOURCE: Minerva Med 1986 May 31;77(22-23):999-1003 77 NLM CIT. ID: 86254182 TITLE: Aneurysm of left aortic sinus of Valsalva rupturing into left ventricle. AUTHOR: Ince WE; Raju CG PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: J R Soc Med 1986 May;79(5):304-5 78 NLM CIT. ID: 86246561 TITLE: Congenital aneurysm of the left sinus of Valsalva. Report of a patient with 19-year survival without surgery. AUTHOR: Martin LW; Wasserman AG; Schwartz H; Hsu I PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: An unruptured aneurysm of the left sinus of Valsalva was diagnosed by angiography in a 16-year-old male subject 19 years ago. A recent repeated angiographic study documented no change in the aneurysm over the 19-year interval, and the patient has remained asymptomatic. We are aware of no other long-term follow-up reports of patients with this lesion who have not had surgical correction. This case emphasizes the controversy regarding the need for prophylactic surgical correction of an unruptured aneurysm. SOURCE: Chest 1986 Jul;90(1):143-5 79 NLM CIT. ID: 86169354 TITLE: Hemodynamic compromise (tricuspid stenosis and insufficiency) caused by an unruptured aneurysm of the sinus of Valsalva. AUTHOR: Gibbs KL; Cooley DA; Hall RJ; Rycyna JL; Gerard JA de Castro CM; Strickman NE; Reardon MJ PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A patient is described with an unruptured aneurysm of the noncoronary sinus of Valsalva that occupied the right ventricular inflow tract and caused dynamic tricuspid stenosis and insufficiency. Results of two-dimensional echocardiography delineated the anatomy of the aneurysm and pulsed Doppler examination provided evidence that the aneurysm was unruptured. The unruptured aneurysm was resected successfully. SOURCE: J Am Coll Cardiol 1986 May;7(5):1177-81 80 NLM CIT. ID: 86126909 TITLE: Congenital aneurysm of sinus of Valsalva detected by pulsed Doppler echocardiography. AUTHOR: Vargas-Barron J; Aracil C; Gil-Moreno M; Attie F Keirns C PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am Heart J 1986 Jan;111(1):181-4 81 NLM CIT. ID: 86112981 TITLE: Congenital aneurysm of the left sinus of Valsalva with an aortopulmonary tunnel. AUTHOR: Scagliotti D; Brundage BH; Chomka EV; Gordon D Deal BJ; Fisher EA PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Aneurysm of the left sinus of Valsalva is rare, and there is only one previous report of rupture into the pulmonary artery. This report describes a patient with valvular pulmonary atresia and ventricular septal defect in whom a portion of his pulmonary blood flow was supplied by an aortopulmonary tunnel arising from a left sinus of Valsalva aneurysm. The surgical implications of precise definition of the type of aortopulmonary communication are discussed. SOURCE: J Am Coll Cardiol 1986 Feb;7(2):443-5 82 NLM CIT. ID: 86112980 TITLE: Unruptured sinus of Valsalva aneurysm with right ventricular outflow obstruction diagnosed by two-dimensional and Doppler echocardiography. AUTHOR: Kiefaber RW; Gibson TC; Coffin LH; Tabakin BS PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: This report presents a case of an unusually large unruptured sinus of Valsalva aneurysm complicated by right ventricular outflow tract obstruction, right coronary artery occlusion and incomplete right bundle branch block. Two-dimensional and Doppler echocardiography were instrumental in preoperative diagnosis and postoperative follow-up. SOURCE: J Am Coll Cardiol 1986 Feb;7(2):438-42 83 NLM CIT. ID: 85224497 TITLE: Aneurysm of the sinus of Valsalva with coexistent coronary atherosclerosis. AUTHOR: Ghosh PK; Vidne BA; Miller HI PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Unruptured aneurysm of the sinus of Valsalva coexistent with extensive coronary atherosclerosis was noted in a 65-year-old man. He underwent transaortic patch repair of the aneurysm and quadruple aortocoronary bypass. The essential features of adequate management of this association are discussed. SOURCE: Ann Thorac Surg 1985 Jun;39(6):579-81 84 NLM CIT. ID: 86036112 TITLE: Ruptured aneurysm of the sinus of Valsalva with pulmonic valve endocarditis: unusual pulmonary wedge pulse traces in a case. AUTHOR: Lai WT; Hwang YS; Lin HJ; Lin YT; Chang HM; Wang JL PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Taiwan I Hsueh Hui Tsa Chih 1985 Jun;84(6):751-8 85 NLM CIT. ID: 86228573 TITLE: [Aneurysm of the sinus of Valsalva. Pathogenesis] AUTHOR: Grajek S; Zajac M; Cieslinski A; Ziembowski M Mularek T PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Pol SOURCE: Kardiol Pol 1985;28(11):707-13 86 NLM CIT. ID: 86217924 TITLE: [Echocardiographic and angiographic aspects of chronic rupture of an aneurysm of the sinus of Valsalva into the right ventricle] AUTHOR: Antonelli G; Rizzon P; Giusti F; Chiddo A; Bortone A PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ita SOURCE: Cardiologia 1985 Jul;30(7):543-8 87 NLM CIT. ID: 86164392 TITLE: Sinus of Valsalva aneurysm obstructing coronary arterial flow: case report and collective review of the literature. AUTHOR: Brandt J; Luhrs C; Jogi P PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: One case of unruptured sinus of Valsalva aneurysm causing left coronary artery compression and lethal myocardial infarction in a 39-year old woman is described. In reviewing the literature, 15 previously published cases of sinus of Valsalva aneurysms disturbing coronary flow were found. It is concluded that the mechanism of coronary flow disturbance differs between aneurysms of the left and right sinuses, respectively. The rare congenital aneurysms of the left sinus carry a considerably greater risk of myocardial ischemia than those of the right sinus. The risk of this complication supports an aggressive surgical attitude towards asymptomatic sinus of Valsalva aneurysms. SOURCE: Eur Heart J 1985 Dec;6(12):1069-73 88 NLM CIT. ID: 86116183 TITLE: [A case of ruptured aneurysm of Valsalva sinus into right atrium in a aged patient] AUTHOR: Wada Y; Kira Y; Oka T; Oga K; Kadowaki M; Kitaura K Kawai T; Toda S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1985 Dec;38(12):1000-4 89 NLM CIT. ID: 86116182 TITLE: [A case of ruptured aneurysm of the sinus of Valsalva complicated by aortic regurgitation due to infectious endocarditis] AUTHOR: Yoshihara K; Osawa H; Yabe Y; Kamegai T; Tokuhiro K Tamura S; Ito N; Koyama N; Komatsu H PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1985 Nov;38(11):917-20 90 NLM CIT. ID: 86101755 TITLE: [Acquired aortopulmonary fistula, an unusual development of aneurysm of the sinus of Valsalva. Apropos of a new surgically-treated case in an adult] AUTHOR: Bazelly B; Fischer M; Guiomard A; Hecquet P Gaillard D; Robinault J PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Fre SOURCE: Ann Chir 1985 Oct;39(7):420-3 91 NLM CIT. ID: 86046215 TITLE: [A case of a ruptured aneurysm of the sinus of Valsalva] AUTHOR: Ruminski W; Jablonka S; Rymar B; Grzywna R Markiewicz M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Pol SOURCE: Wiad Lek 1985 Jun 15;38(12):865-8 92 NLM CIT. ID: 86032521 TITLE: Cross-sectional echocardiographic diagnosis of unruptured right sinus of Valsalva aneurysm dissecting into the interventricular septum. AUTHOR: Hands ME; Hung J; Lloyd BL PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: We present a case of an unruptured right coronary sinus of Valsalva aneurysm with dissection into the interventricular septum diagnosed pre-operatively by cross-sectional echocardiography. The unique echocardiographic features of this rare, although potentially fatal congenital lesion, are described. SOURCE: Int J Cardiol 1985 Nov;9(3):380-3 93 NLM CIT. ID: 86026033 TITLE: Rapid expansion of a saccular aneurysm on the left coronary sinus of Valsalva: a role for early surgical repair? AUTHOR: Faillace RT; Nanda NC; Greenland P PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A thirty nine year old woman presented with ischaemic chest pain caused by a saccular aneurysm of the left coronary sinus of Valsalva. Over the next two weeks there was rapid dilatation of the aneurysm which led to left coronary artery compression and death from a massive myocardial infarction. It is suggested that early repair should be considered in patients with saccular aneurysm at this site, but only in the context of other management priorities. SOURCE: Br Heart J 1985 Oct;54(4):442-4 94 NLM CIT. ID: 86003670 TITLE: An unusual echocardiographic finding in a ruptured sinus of Valsalva aneurysm. AUTHOR: Coralli RJ; Felner JM; Olmsted WL PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A patient with a ruptured sinus of Valsalva aneurysm (RSVA) demonstrated an unusual two-dimensional echocardiographic manifestation of this entity. A discrete mass of echoes, appearing attached to a posterior leaflet of the tricuspid valve, moved to and fro into the right ventricle during diastole and into the right atrium in systole. This echocardiographic appearance mimics a vegetation of the tricuspid valve, a flail tricuspid leaflet, a right atrial myxoma or a pedunculated right atrial thrombus. Therefore, the differential diagnosis of this echocardiographic finding should include RSVA in addition to the above mentioned disorders. SOURCE: Chest 1985 Oct;88(4):633-5 95 NLM CIT. ID: 85284124 TITLE: Ostial left main stenosis following repair of a ruptured sinus of Valsalva aneurysm. AUTHOR: Coplan NL; Ambrose JA; Estioko MR PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A patient complained of angina pectoris nine months after surgical repair of an aortic right atrial fistula and mitral valve replacement. Subsequently, he was shown to have a new obstruction of the ostium of the left main coronary artery. This case illustrates the need to consider this syndrome in the differential diagnosis of postoperative complaints of chest pain, especially following an operation which involves direct cannulation of the coronary arteries. SOURCE: Chest 1985 Sep;88(3):471-3 96 NLM CIT. ID: 85243908 TITLE: [A case of unruptured aneurysm of the sinus of Valsalva producing a right ventricular outflow obstruction] AUTHOR: Naito H; Tanimoto Y; Kobayashi Y; Yamada H; Yuki K Nakatsuka M; Miyoshi A PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kokyu To Junkan 1985 Apr;33(4):581-5 97 NLM CIT. ID: 85223684 TITLE: [Aneurysm of Valsalva's sinus rupturing into the right cavity. Surgical treatment. Apropos of 4 cases] AUTHOR: Laborde F; Soyer R; Hubscher C; Redonnet M Bessou JP; Abdelmegiud I PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Fre SOURCE: Ann Chir 1985 Mar;39(2):103-8 98 NLM CIT. ID: 85132317 TITLE: Rupture of left sinus of Valsalva aneurysm into the pulmonary artery. AUTHOR: Heilman KJ 3d; Blount SG Jr; Campbell D; Groves BM PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Congenital sinus of Valsalva aneurysm is an uncommon lesion that frequently presents after rupture in adult life. This report describes a patient with a left sinus of Valsalva aneurysm that ruptured into the main pulmonary artery, a previously unreported anatomic variant. Anatomic and clinical features of previously reported cases of ruptured sinus of Valsalva aneurysm are reviewed. SOURCE: J Am Coll Cardiol 1985 Apr;5(4):1005-7 99 NLM CIT. ID: 85094018 TITLE: Echocardiographic diagnosis of unruptured aneurysm of right sinus of Valsalva: an unusual cause of right ventricular outflow obstruction. AUTHOR: Desai AG; Kalke BR; Hansoti RC; Kumar A; Sharma S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am Heart J 1985 Feb;109(2):363-4 1 NLM CIT. ID: 82233841 TITLE: [Congenital aneurysm of the aortic sinus of Valsalva] AUTHOR: Horacek J; Palas J; Nieslanik J PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Cze ABSTRACT: In a 25-years-old man following a virus of short duration, cardiac dyspnea developed and within ten days following the onset of the disease, the patient died with manifestations of heart failure. A congenital aneurysm of the sinus of Valsalva was found at the post-mortem accompanied by a double perforation into the right atrium. In accordance with the literature, this finding is considered to be rather rare. The malformation was associated with a fenestration of the aortic and the pulmonary valves. SOURCE: Cesk Patol 1982 May;18(2):110-4 2 NLM CIT. ID: 94016798 TITLE: Echocardiographic abnormalities in a ruptured aneurysm of the aortic sinus of valsalva. AUTHOR: Chia BL; Tan LK; Johan A; Tan NC; Choo M ADDRESS: University Department of Medicine (II), Singapore General Hospital. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: J Ultrasound Med 1982 Nov-Dec;1(9):377-8 3 NLM CIT. ID: 82237603 TITLE: [Sinus of Valsalva aneurysm with subannular rupture into the left ventricle, compression of the left coronary artery and recurrent pericarditis] AUTHOR: Hinterauer L; Turina M; Goebel N; Steinbrunn W Furger F PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ger SOURCE: ROFO Fortschr Geb Rontgenstr Nuklearmed 1982 Apr;136(4):482-5 4 NLM CIT. ID: 83307786 TITLE: [Aneurysm of the sinus of Valsalva. Characteristics apropos of 6 surgically treated cases] AUTHOR: Metras D; Chauvet J; Ouattara K; Coulibaly AO PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Fre ABSTRACT: The authors report 6 cases of aneurysm of the sinus of Valsalva. Two cases only presented with the classical aspect of wind-sock ruptured in a cardiac chamber. In these two cases there were associated cardiac malformations. The others were not ruptured and had very peculiar features: heavy calcifications in 2 cases, association to a ventricular septal defect, aortic insufficiency and bacterial endocarditis in 1 case, septal extension with complete heart block and aortic insufficiency in 1 case, association to an annular sub-valvular mitral aneurysm of the left ventricle with mitral insufficiency in 1 case. All patients were operated with cardio-pulmonary by-pass: closure of the orifice of the aneurysm by a trans-aortic approach, aortic valvular replacement (2), aortic valvuloplasty (1), mitral valve replacement (1), left ventricular aneurysm closure (1), pacemaker insertion (1) were done. One patient died in the post-operative period (association with left ventricular aneurysm). The authors discuss different original aspects of these patients: surgical technique, various associations, calcifications, double aneurysm: ventricular and aortic. SOURCE: Arch Mal Coeur Vaiss 1983 Jul;76(7):838-45 5 NLM CIT. ID: 83281957 TITLE: [Congenital aneurysm of Valsalva's sinus rupturing into the left ventricle. Apropos of a case in a 3-year-old child] AUTHOR: Girardet JP; Fontaine JL; Binet JP; Casasoprana A Cetout O; Magnier S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Fre ABSTRACT: The authors present the case of a 3 year old child with cardiac failure of recent onset, arterial hyperpulsatility and a systolo-diastolic murmur. Aortic angiographic showed an aneurysm of the sinus of Valsalva and valvular aortic regurgitation. At surgery the aneurysm was found to have ruptured into the left ventricle. The fistula was closed. The postoperative course has been satisfactory with a 20 month follow-up period, despite some residual aortic regurgitation. This is the first published pediatric case of a congenital sinus of Valsalva aneurysm rupturing into the left ventricle. The case is discussed and compared with 6 other cases in the literature concerning adults. SOURCE: Arch Mal Coeur Vaiss 1983 May;76(5):627-31 6 NLM CIT. ID: 85001921 TITLE: Mycotic aneurysm of the sinus of Valsalva due to Eikenella corrodens bacterial endocarditis. AUTHOR: Burger AJ; Geller D; Schulman P; Messineo FC PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng REGISTRY NUMBERS: 0 (Antibiotics) ABSTRACT: A patient with a left sinus of Valsalva aneurysm secondary to bacterial endocarditis involving an unusual pathogen, Eikenella corrodens, is presented. This case and a review of previous reports on mycotic sinus of Valsalva aneurysm are analyzed. The distinctive M-mode and two-dimensional echocardiographic patterns of a sinus of Valsalva aneurysm as well as the usefulness and limitations of echocardiography in this condition are discussed. This rare complication of bacterial endocarditis can be diagnosed and clinically followed by serial echocardiographic studies, and its presence alone does not necessitate surgical intervention. SOURCE: Cardiology 1984;71(4):220-8 7 NLM CIT. ID: 84233897 TITLE: Ruptured sinus of valsalva aneurysm in children: report of two cases and literature review. AUTHOR: Tonkin IL; Ilabaca P; Bell ED Jr; Paul RN Marin-Garcia J PUBLICATION TYPES: JOURNAL ARTICLE REVIEW LANGUAGE: Eng ABSTRACT: Two children with ruptured sinus of Valsalva aneurysm are described, each with a ventricular septal defect, and in one there was also an associated discrete subvalvular aortic stenosis. The diagnostic appearance of two-dimensional echocardiography and axial angiocardiography are emphasized to allow early diagnosis and surgical repair. A literature review of recent reports in English disclosed that 13 patients under age 20 had been reported to have ruptured sinus of Valsalva aneurysm. SOURCE: Cardiovasc Intervent Radiol 1984;7(2):78-83 8 NLM CIT. ID: 85184137 TITLE: [A study on the ruptured Valsalva sinus aneurysm using two-dimensional echocardiography] AUTHOR: Kambe T; Nishimura K; Hibi N; Yanagisawa K Matsubara T; Yokoi K; Itoh K; Nanki M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn ABSTRACT: We visualized the Valsalva sinus aneurysm ruptured into the right ventricle using two-dimensional echocardiography, and analyzed the blood flow by pulsed Doppler technic. Cross-sectional echocardiography was performed on 11 patients with right sinus aneurysm protruding into the right ventricle. The age of the examined subjects ranged from 17 to 40 years. Ten of the 11 revealed a ruptured aneurysm of the right sinus of Valsalva into the right ventricle. Nine of the 11 had ventricular septal defect and five were associated with aortic regurgitation. Pulmonic regurgitation was recognized in one case. The diagnosis was made by cardiac catheterization and angio-cardiography in all cases and was confirmed by cardiac surgery in nine patients. In this study, we employed an electronic (SSH-11A) or mechanical sector scanning system (SSL-51H) for cross-sectional echocardiography. In order to clearly visualize an aneurysm, the cross-section of the left ventricular long-axis was obtained from a slightly lower and more sagittal position than the standard method. In addition, the short axis cross-section of the aortic root was also examined. Furthermore, a pulsed Doppler technic was applied to three patients using a Doppler unit SDS-10A combined with SSH-11A. In all patients, an aneurysm of the right sinus of Valsalva was seen to protrude into the right ventricle by two-dimensional echocardiography. Furthermore, the ruptured orifice of the aneurysm was clearly visualized in ten cases. The shape of the aneurysm was tubular in ten cases and saccular in the remaining one. A continuous blood flow of wide band pattern was recorded in the right ventricle near the ruptured orifice in two of the examined three cases and a disturbed diastolic flow was noted in a saccular aneurysm. In conclusion, two-dimensional echocardiography is useful to visualize an aneurysm of the right sinus of Valsalva ruptured into the right ventricle and a pulsed Doppler technic is greatly contributed in detecting localized disturbed flow due to the ruptured aneurysm. SOURCE: J Cardiogr 1984 Aug;14(2):389-401 9 NLM CIT. ID: 85069263 TITLE: Asymptomatic sinus of Valsalva aneurysm causing right ventricular outflow obstruction before and after rupture. AUTHOR: Warnes CA; Roberts WC; Jones M; Maron BJ PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am J Cardiol 1984 Dec 1;54(10):1383-4 10 NLM CIT. ID: 85033855 TITLE: Echocardiographic demonstration of an aneurysm of the right coronary sinus of valsalva with dissection into the interventricular septum. AUTHOR: Liss GB; DeCastro CM; Garcia E; Pechacek LW PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: J Ultrasound Med 1984 Oct;3(10):477-9 11 NLM CIT. ID: 85002962 TITLE: Conduction disturbance in Behcet's disease. Association with ruptured aneurysm of the sinus of valsalva into the left ventricular cavity. AUTHOR: Nojiri C; Koyanagi H; Endo M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Cardio-Behcet's disease is not often reported; only one case to our knowledge has described complete atrioventricular (AV) block, without pathologic details. We document, from direct observation during surgery and pathologic examination of associated lesions, a case whose conduction disturbance was possibly caused by direct extension of Behcet's disease itself into the conduction system. SOURCE: Chest 1984 Oct;86(4):636-8 12 NLM CIT. ID: 84291002 TITLE: [A case of ruptured aneurysm of sinus of Valsalva (Konno's type IV) resulting in secondary aldosteronism] AUTHOR: Uehata A; Okazaki M; Yoshizawa N; Hosono K; Aosaki N Mizuno K; Arakawa K; Kurita A PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Naika Gakkai Zasshi 1984 Apr;73(4):487-93 13 NLM CIT. ID: 84275050 TITLE: Rupture of an aneurysm of the sinus of Valsalva into the superior vena cava. AUTHOR: Kaye GC; Tunstall-Pedoe DS; Caplin JL; Edmonson SJ PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Thorax 1984 Jun;39(6):475-6 14 NLM CIT. ID: 84259646 TITLE: [Rupture of a congenital aneurysm of the sinus of Valsalva] AUTHOR: Cartier P; Chartrand C; Jean JD; Boudreault JR PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Fre ABSTRACT: The ruptured aneurysm of the sinus of Valsalva is a rare congenital anomaly which we encountered in less then 1% of our surgical patients. We recently operated on a young girl suffering from this congenital malformation consisting of a 15 mm long fistula arising from the right coronary sinus and giving rise to a 6 cm aneurysm which dissected the interatrial septum as well as the posterolateral wall of the right atrium before rupturing into this cavity. Because of the unusual presentation of this malformation, which has never been described previously, we though worthwhile reporting this case in details. We also summarized the embryological, anatomopathological, clinical and surgical aspects discussed in the literature. SOURCE: Chir Pediatr 1984;25(2):83-6 15 NLM CIT. ID: 84227455 TITLE: [Ruptured aneurysm of the sinus of Valsalva into the right atrium] AUTHOR: Bonhorst D; Rato JA; Bento R; Serra A; Cruz G Gracias R; Jara AJ; Robles M; Quininha J; Serra J PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Por SOURCE: Acta Med Port 1984 Mar;5(3):91-4 16 NLM CIT. ID: 84199858 TITLE: Echocardiographic diagnosis of unruptured sinus of Valsalva aneurysm. AUTHOR: Lewis BS; Agathangelou NE PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am Heart J 1984 May;107(5 Pt 1):1025-7 17 NLM CIT. ID: 84181075 TITLE: Recurrent sinus of Valsalva aneurysm with right ventricular outflow tract obstruction. AUTHOR: Ellis JH; Gill CC; Yiannikas J; Moodie DS; Hobbs RE PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Cleve Clin Q 1984 Spring;51(1):77-81 18 NLM CIT. ID: 84134083 TITLE: Echocardiographic features of right sinus of valsalva aneurysm ruptured into the right ventricle. AUTHOR: Bahuleyan CG; Menon MR; Potti SS PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Indian Heart J 1983 Nov-Dec;35(6):355-7 19 NLM CIT. ID: 84011748 TITLE: [Cervical aortic arch with severe aortic regurgitation and aneurysm of sinus of Valsalva--report of a case with successful surgical intervention] AUTHOR: Hasegawa T; Kotoda K; Fukushima K; Harada M Kimura S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1983;36(7):570-5 20 NLM CIT. ID: 84000135 TITLE: Dissection of interventricular septum by aneurysm of sinus of Valsalva. A rare complication diagnosed by echocardiography. AUTHOR: Chen WW; Tai YT PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A patient with dissection of the interventricular septum by a sinus of Valsalva aneurysm is described. Echocardiographic examination allows the correct diagnosis to be made before cardiac catheterisation. SOURCE: Br Heart J 1983 Sep;50(3):293-5 21 NLM CIT. ID: 83278092 TITLE: [Acute kidney failure and aortic insufficiency in a large, non-perforated sinus of Valsalva aneurysm] AUTHOR: Neumann H; Wegener K; Brass H; Loffler H PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ger SOURCE: Vasa 1983;12(2):185-9 22 NLM CIT. ID: 83264891 TITLE: Ruptured sinus valsalva aneurysm. AUTHOR: Quigley P; Shaw KM; Gearty GF PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Ir J Med Sci 1983 Apr;152(4):165-7 23 NLM CIT. ID: 83249516 TITLE: Rupture of sinus of Valsalva aneurysm into the right ventricle. AUTHOR: Przybojewski JZ; Simpson RH; Barnard PM; Rossouw J Kathrada FH PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A young Black woman presented with acute severe right ventricular and moderate left ventricular cardiac failure secondary to rupture of a sinus of Valsalva aneurysm originating from the right coronary sinus. The rupture into the right ventricle was accompanied by severe aortic valve insufficiency. The aortic valve showed congenital myxomatous degeneration with no evidence of infective endocarditis or syphilis. Right ventricular endomyocardial biopsy revealed no evidence of any specific cardiac disease such as amyloidosis. Successful closure of the fistula, together with aortic valve replacement and a De Vega tricuspid annuloplasty, was carried out. M-mode and two-dimensional echocardiography delineated the fistula, as well as the most unusual binding of tricuspid valve fluttering, which persisted after operation. Slight insufficiency of the Bjork-Shiley aortic prosthesis was noted at postoperative cardiac catheterization. The patient was discharged from hospital asymptomatic and with no abnormal clinical features. SOURCE: S Afr Med J 1983 Jul 9;64(2):59-66 24 NLM CIT. ID: 83248721 TITLE: [Successful aortic valve replacement in rupture of an aneurysm of the sinus of Valsalva into the left ventricular cavity and aortic valve insufficiency associated with a complete form of Behcet's disease] AUTHOR: Nojiri T; Sekiguchi M; Obayashi N; Koyanagi H Endo M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Rinsho Kyobu Geka 1983 Mar;3(2):224-32 25 NLM CIT. ID: 83246215 TITLE: Calcified congenital aneurysm of the left sinus of Valsalva associated with coarctation of the aorta. AUTHOR: Paige ML; Schwartz DC PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Pediatr Radiol 1983;13(3):159-61 26 NLM CIT. ID: 83243362 TITLE: [Calcified aneurysm of the sinus of Valsalva mimicking a left atrial calcification (letter)] AUTHOR: Fuster Siebert M PUBLICATION TYPES: LETTER LANGUAGE: Spa SOURCE: Med Clin (Barc) 1983 Apr 2;80(11):513 27 NLM CIT. ID: 83203105 TITLE: Isolated unruptured aneurysm of the left coronary sinus of Valsalva. AUTHOR: Williams TG; Williams BT PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: An isolated unruptured aneurysm of the left coronary sinus of Valsalva was detected incidentally in a patient with a bicuspid aortic valve in whom the left circumflex coronary artery arose from the right coronary artery. With the patient on cardiopulmonary bypass, the mouth of the aneurysm was closed by suturing the reflected posterior cusp of the aortic valve to the aortic root. A Starr-Edwards prosthetic aortic valve was inserted, and an aortocoronary saphenous vein bypass graft maintained good blood flow down the left anterior descending coronary artery. Previous reports of this rare condition and its treatment are discussed. SOURCE: Ann Thorac Surg 1983 May;35(5):556-9 28 NLM CIT. ID: 83197826 TITLE: Rupture of sinus of Valsalva aneurysm into both right atrium and right ventricle. A case report. AUTHOR: Przybojewski JZ; van der Walt JJ; Rossouw J de Wet Lubbe JJ; Blake RS PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A young man had a congenital sinus of Valsalva aneurysm originating from the right coronary sinus, complicated by fistulas draining into both right atrium and right ventricle, as well as a congenitally abnormal aortic valve with mild aortic insufficiency. His dramatic clinical presentation, with the sudden appearance of severe biventricular cardiac failure unresponsive to intensive medical therapy, was an important clue to making the correct pre-operative diagnosis. The use of non-invasive techniques, such as phonocardiography and M-mode and two-dimensional echocardiography, is highlighted. Full cardiac catheterization was employed to define the cardiac pathophysiology. This was one of the few cases documented in which a catheter could be passed from the aorta into the right ventricle via the fistula connecting these two chambers. The fistulas were closed and the aortic valve replaced. Postoperative investigations confirmed the success of corrective surgery. As far as we are aware this is the first documented case of successful repair of a congenital sinus of Valsalva aneurysm rupturing into both the right atrium and right ventricle, accompanied by aortic insufficiency. SOURCE: S Afr Med J 1983 Apr 16;63(16):616-25 29 NLM CIT. ID: 83189944 TITLE: [Surgical treatment of ruptured aneurysm of sinus of Valsalva into the left ventricle associated with complete A-V block] AUTHOR: Hasegawa T; Hosoda S; Seo K; Terao N; Kawasaki K Kotoda K; Take A; Harada M; Kimura S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1983 Feb;36(2):155-60 30 NLM CIT. ID: 82190443 TITLE: False echocardiographic diagnosis of ruptured acquired sinus of Valsalva aneurysm. AUTHOR: Hopkins CB PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: JCU J Clin Ultrasound 1982 Mar;10(3):145-8 31 NLM CIT. ID: 82076177 TITLE: Ruptured aneurysm of the right sinus of Valsalva: two pulsed Doppler echocardiographic studies. AUTHOR: Yokoi K; Nishimura K; Hibi N; Yanagisawa K Matsubara T; Nanki M; Itoh K; Toguchi M; Ichimiya S; Kambe T PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Pulsed Doppler echocardiography (PDE) was performed on two cases with ruptured aneurysm of the right sinus of Valsalva into the right ventricle. PDE revealed a wide band pattern throughout the cardiac cycle when the sample volume was placed within the aneurysm. In the right ventricle below the aneurysm, a continuous disturbed flow in case 1 and a diastolic turbulence in case 2, was widely recorded, respectively. In contrast, the flow pattern of the right ventricular outflow tract distal to the aneurysm showed a systolic disturbed flow in both cases. These PDE findings were consistent with the shunt flows in angiocardiography. SOURCE: JCU J Clin Ultrasound 1981 Nov-Dec;9(9):505-10 32 NLM CIT. ID: 82067216 TITLE: [Atrioventricular block disclosing an isolated congenital aneurysm of the sinus of Valsalva, extending into the septum and not ruptured] AUTHOR: Sebag C; Motte G; Aigueperse J; Dussarat G Bouchareine F; Scheuble C; Davy JM PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Fre ABSTRACT: A case of a congenital aneurysm of the right anterior sinus of Valsalva (ASV) extending into the septum is reported. The patient, a 20 year old male Central-African, presented with syncopal complete atrioventricular block (AVB) or recent onset. There were no clinical or radiological signs of associated cardiac disease. After implantation of a pacemaker, the diagnosis of an ASV extending into the septum was suggested on routine M mode echocardiography. It was confirmed by two-dimensional echocardiography and aortography. These investigations provided data on its size, its relationship to the cardiac chambers and also showed absence of rupture. The neck of the aneurysm was closed by an endo-aortic approach. There was moderate postoperative aortic regurgitation. This case underlines the value of systematic echocardiography in young patients with AVB of recent onset and obscure origin. SOURCE: Arch Mal Coeur Vaiss 1981 Oct;74(10):1233-9 33 NLM CIT. ID: 82045113 TITLE: [Aneurysm of the sinus of Valsalva rupturing into the pulmonary infundibulum. Echographic study] AUTHOR: Bourlon F; Dor V; Kreitmann P; Schmitt R; Adad D Redjimi M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Fre ABSTRACT: Rupture of a Sinus of Valsalva aneurysm into the pulmonary infundibulum with ventricular septal defect was diagnosed by M mode echocardiography The differential diagnosis was prolapse of an aortic valve cusp associated with ventricular septal defect. The relevant features were the presence of an echo anterior to the anterior aortic wall. This echo was related to the aortic valve as a small posterior movement was recorded at aortic valve closure. Systolic fluttering of the pulmonary valve suggested a degree of subvalvular obstruction. Diastolic fluttering was related to the aortic regurgitation immediately below the pulmonary valve. This case confirms the hypothesis that the anterior echo produced by the aortic valve is in fact the left anterior coronary cusp. SOURCE: Arch Mal Coeur Vaiss 1981 May;74(5):615-21 34 NLM CIT. ID: 82213268 TITLE: Trepopnea resulting from large aneurysm of sinus of Valsalva and descending aorta. AUTHOR: Acosta J; Chitkara R; Khan F PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Heart Lung 1982 Jul-Aug;11(4):342-4 35 NLM CIT. ID: 82240702 TITLE: [A case of mycotic aneurysm of the sinus of Valsalva with a hemodynamic pattern simulating mitral stenosis (author's transl)] AUTHOR: Kobayashi A; Suzuki M; Sugiura M; Moriura S; Hirai T Mukaiyama H; Watanabe K; Katsuragawa K; Suenaga Y; Sugimura S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1982 Feb;30(2):247-55 36 NLM CIT. ID: 81186955 TITLE: Fungal endocarditis complicated by mycotic aneurysm of sinus of Valsalva, interventricular septal abscess, and infectious pericarditis: unique M-mode and two-dimensional echocardiographic findings. AUTHOR: Incarvito J; Chang KS; Fernandez J; Papa L; Yang SS PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A 26-year-old male with fungal aortic endocarditis is presented in whom unique M-mode and two-dimensional echocardiographic findings permitted a diagnosis of mycotic aneurysm of right sinus of Valsalva and ventricular septal abscess preoperatively. The aneurysm was excised, and the affected aortic and tricuspid valves were replaced with valve prostheses. SOURCE: Clin Cardiol 1981 Jan;4(1):34-8 37 NLM CIT. ID: 81120516 TITLE: [A successful surgical treatment of congenital bicuspid aortic stenosis with mycotic aneurysm of the sinus of Valsalva (author's transl)] AUTHOR: Hayashi K; Yutani C; Hirose O; Kamiya T; Manabe H Oka R; Tanaka K; Tomino T; Kosakai Y; Naito Y; Fujita T PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1980;33(12):951-5 38 NLM CIT. ID: 81038364 TITLE: Fallot's tetralogy. Its occurrence with absent pulmonary valve and sinus of Valsalva aneurysm in an adult. AUTHOR: Parker ME; Parr GV; Abt AB PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A patient with a right aortic sinus of Valsalva aneurysm, Fallot's tetralogy, and pulmonic valve absence survived into adulthood without surgical intervention. SOURCE: Arch Pathol Lab Med 1980 Nov;104(11):597-8 39 NLM CIT. ID: 80207619 TITLE: [Mycotic aneurysm of the left coronary sinus of Valsalva (author's transl)] AUTHOR: Kawada T; Yamamoto Y; Noguchi T; Hiekata T; Okada T Osada H; Funaki S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1980;33(5):380-3 40 NLM CIT. ID: 83089468 TITLE: [Unusual natural history of a case of congenital aneurysm of the sinus of Valsalva] AUTHOR: Puviani G; Venezia L; Villani M; Zanni G PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ita SOURCE: Minerva Cardioangiol 1982 Oct;30(10):579-86 41 NLM CIT. ID: 83086574 TITLE: [Ruptured "congenital" aneurysm of the valsalva sinus in the aged--report of a case--] AUTHOR: Goto S; Hanai T; Kawamura K; Uchida Y; Saegusa M Furuse A; Makuuchi H PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1982;35(9):677-80 42 NLM CIT. ID: 83084219 TITLE: [Surgical success in 2 cases of intra-auricular rupture of aneurysm of Valsalva's sinus (konno type IV)--with special reference to the analysis of interesting pressure waves within the aneurysm of Valsalva's sinus] AUTHOR: Fujii N; Takano H; Umezu M; Manabe H; Fujita T Kosakai Y; Kawazoe K PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1982 Jul;30(7):1302-7 43 NLM CIT. ID: 83170913 TITLE: [Case of ruptured aneurysm of the aortic sinus of valsalva into the right atrium] AUTHOR: Komatsu H; Yabe Y; Kamishima G; Kamegai T; Ebine K Yoshihara K; Tamura S; Ito N; Koyama N PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kokyu To Junkan 1982 Nov;30(11):1183-5 44 NLM CIT. ID: 83112964 TITLE: [Surgical treatment of ruptured aneurysm of sinus Valsalva] AUTHOR: Shirabe J; Takagi M; Fukushima K; Kuroiwa M Kusaba E; Kugimiya T; Mori Y; Uchida Y; Kaku K; Hadama T PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1982 Nov;35(11):832-7 45 NLM CIT. ID: 83106232 TITLE: [Echocardiographic diagnosis of aneurysm of Valsalva's sinus with fistulization into the right atrium] AUTHOR: Purcaro A; Brugnami R; Piva R; Massacci C Breccia Fratadocchi G; Blandini A; Ciampani N PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ita ABSTRACT: The preoperative diagnosis of an aneurysm of the posterior sinus of Valsalva with rupture into the right atrium was made by echocardiography in a 21-year-old patient. The M-mode echocardiography revealed the following findings: 1) a vibrating anomalous structure, continuous with the aortic wall, was present in the right atrium. The echo-producing mass was the wall of the aneurysm, which adhered to the septal leaflet of the tricuspid valve during early-to-mid systole and had an abrupt posterior motion in late systole. In diastole, the wall of the aneurysm descended into the tricuspid orifice and its motion was similar to that of the septal leaflet of the tricuspid valve; 2) an echocardiographic sweep from the aorta to the left ventricle showed that the posterior wall of the aorta "crossed" the mitral orifice; 3) the pulmonic and tricuspid valves were normal. The 2-D echocardiographic findings gave support to the M-mode diagnosis: 1) in the short-axis view (at the level of the aorta) two lines of echoes came off the right side of the aortic wall and invaded the right atrium. These echoes were produced by the walls of the aneurysm; 2) in the apical four-chamber view the aneurysm descended into the tricuspid orifice in diastole, whereas it was lifted by the septal leaflet of the tricuspid valve in systole. The aneurysm appeared as vibrating lump on the closed tricuspid valve. Recognition of these features provides a potential non-invasive way to diagnose this anomaly. To our knowledge this is the first description of the characteristic echocardiografic picture of an aneurysm of the sinus of Valsalva with rupture into the right atrium. SOURCE: G Ital Cardiol 1982;12(4):302-7 46 NLM CIT. ID: 83064772 TITLE: [Aneurysm of Valsalva's sinus] AUTHOR: Pawlak B; Kalawski R; Adamczyk W; Karwowski A Wojtowicz J PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Pol SOURCE: Pol Przegl Radiol 1982 Jan-Jun;46(1-3):27-31 47 NLM CIT. ID: 83048716 TITLE: Calcified unruptured aneurysm of sinus of Valsalva with complete heart block and aortic regurgitation. Successful repair in one case. AUTHOR: Metras D; Ouattara K; Coulibaly AO PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Br Heart J 1982 Nov;48(5):507-9 48 NLM CIT. ID: 82249264 TITLE: [Diagnosis of a continuous left parasternal murmur: detection of a rupture of a Valsalva's sinus aneurysm into the right ventricle] AUTHOR: Galinier F; Ribaut L; Didier JP; Conte D; Sassi JL Marco J PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Fre SOURCE: Rev Med Interne 1982 Mar;3(1):81-2 49 NLM CIT. ID: 82249040 TITLE: [Aneurysm of the right sinus of Valsalva rupturing into the right ventricle: echocardiographic signs] AUTHOR: Garcia-Dorado D; Delcan Dominquez JL; Rubio Sanz R Molinero Somolinos F PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Spa SOURCE: Rev Esp Cardiol 1982;35(2):171-3 50 NLM CIT. ID: 82243000 TITLE: [A case report of successful repair of ruptured aneurysm of sinus of Valsalva into right atrium combined with severe aortic regurgitation (author's transl)] AUTHOR: Fujii N; Go S; Shimomura K; Nakajima K; Fujita T Kawazoe K PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1982;35(5):392-6 51 NLM CIT. ID: 82211970 TITLE: [Aneurysm of the sinus of Valsalva] AUTHOR: Astaf'ev VI; Zheltovskii IuV; Noskov VS PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Rus SOURCE: Grudn Khir 1982 Mar-Apr;(2):37-9 52 NLM CIT. ID: 82181286 TITLE: Repair of sinus of Valsalva aneurysm associated with aortoventricular discontinuity. AUTHOR: Yarnoz MD; Del Mastro P; Richman A; Weber DO PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: The case of patient with unruptured sinus of Valsalva aneurysm with absence of the intervalvular lamina fibrosa is presented. The association of Valsalva aneurysm and aortic subvalvular defects has been explained as a deficiency of elastic tissue at the aortic root or maldevelopment of the fibrous trigone. Valvular aortic insufficiency with histological evidence of myxoid changes required prosthetic replacement. Myxomatous changes in the fibrous trigone and aortic annulus can explain this unusual, complex anomaly. Accurate preoperative diagnosis may require special views and simultaneous left and right injections at cineangiography. Techniques of repair that have been successful are reviewed, and the essential features of adequate correction are outlined. SOURCE: Ann Thorac Surg 1982 Mar;33(3):290-4 53 NLM CIT. ID: 83100787 TITLE: [Ruptured aneurysm of the sinus of Valsalva: special aspects] AUTHOR: Allegro G; Scarani P; Bertaccini B; Costantini G Di Paolo E; Pilati G PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ita SOURCE: Boll Soc Ital Cardiol 1981;26(11):1437-41 54 NLM CIT. ID: 82171414 TITLE: [Rupture of the aneurysm of the sinus of Valsalva in Marfan's syndrome] AUTHOR: Kosoi GKh; Kosaia NM PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Rus SOURCE: Klin Med (Mosk) 1981 Dec;59(12):86-7 55 NLM CIT. ID: 82099622 TITLE: [Aneurysm of sinus of Valsalva ruptured into the interventricular septum: a case report (author's transl)] AUTHOR: Ogasawara S; Abe H; Hirosawa K; Sekiguchi M Nakamura K; Kawase M; Matsuda S; Tanaka H; Kohashi K; Abe M Hiroe M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn ABSTRACT: A 48-year-old male with a history of progressive atrioventricular conduction disturbance and a peculiar diastolic regurgitant murmur was reported. The echocardiographic examination and cineangiography disclosed an aneurysm of the right coronary sinus of Valsalva ruptured into the interventricular septum, which bulged into the left ventricular outflow tract in diastole and moved toward the septum in systole. The intracardiac phonocardiogram revealed that an unperforated sac in the interventricular septum, protruded into the left ventricular outflow tract, caused an unusual regurgitant murmur. The patient underwent successful surgical repair of the perforated orifice. SOURCE: J Cardiogr 1981 Jun;11(2):681-90 56 NLM CIT. ID: 82099621 TITLE: [Cross-sectional echocardiographic findings of a case with ruptured aneurysm of the sinus of Valsalva into the right atrium (author's transl)] AUTHOR: Ohuchi Y; Miyakoda J; Miyata M; Furuta S; Machii K Natsume T; Tamura T; Kuwako K PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn ABSTRACT: A case with ruptured aneurysm of the sinus of Valsalva into the right atrium directly visualized by cross-sectional echocardiography was reported. A 31-year-old male was referred to our hospital for evaluation of recently developed cardiac murmur. A systolic ejection murmur and diastolic blowing murmur were audible maximally at 3-4L and the latter one was also well audible at the right lower sternal border. Cardiac catheterization data revealed a large left-to-right shunt at the atrial level. The cross-sectional echocardiogram, obtained with a transducer at 5R towards the upwards and the medial direction, revealed a mass echo showing a pendulous motion through cardiac cycle in the right atrial cavity. Ruptured aneurysm of the sinus of Valsalva originated from the non-coronary sinus was demonstrated by aortography, and it showed the same motion as in echocardiography. From this angiographic finding and its disappearance after operation, the mass visualized by echocardiography was considered to be ruptured aneurysm itself. Thus, direct visualization of ruptured aneurysm of the sinus of Valsalva into the right atrium, as well as other types, was possible by cross-sectional echocardiography. In addition, multiple coronary A-V fistulae with a small shunt were demonstrated by coronary angiography in this case. Clinical significance of the complication has not been clarified. SOURCE: J Cardiogr 1981 Jun;11(2):671-80 57 NLM CIT. ID: 82022694 TITLE: [Surgical treatment for ruptured aneurysm of sinus of Valsalva (author's transl)] AUTHOR: Saga T; Shirotani H; Katori R; Tashi M; Kawai J Oku H; Nishioka T; Noritake S; Oka H; Horio S; Wakaki N PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Geka Hokan 1981 Mar 1;50(2):358-65 58 NLM CIT. ID: 82011400 TITLE: [A case of ruptured aneurysm of sinus of Valsalva into the right ventricle associated with double-chambered right ventricle (author's transl)] AUTHOR: Asao M; Akaiwa H; Shibuya H; Takizawa S; Miyawaki J Onimura S; Kawano Y; Anai K; Imada T; Sukehiro S; Matsuyoshi T PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1981 May;34(5):389-91 59 NLM CIT. ID: 82011399 TITLE: [A case of the ruptured aneurysm of the sinus of Valsalva and patent ductus arteriosus associated with extreme kyphoscoliosis (author's transl)] AUTHOR: Kuribayashi R; Iwasaki H; Takano H; Gomi H PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1981 May;34(5):385-8 60 NLM CIT. ID: 81255919 TITLE: Aneurysm of the sinus of valsalva secondary to rheumatoid nodulosis [letter] AUTHOR: Shearn DL PUBLICATION TYPES: LETTER LANGUAGE: Eng SOURCE: Arthritis Rheum 1981 Jul;24(7):978 61 NLM CIT. ID: 81205882 TITLE: [Large unruptured aneurysm of the sinus of Valsalva discovered by a ventricular tachycardia. Report of a 77 years old man's case successfully treated by surgery (author's transl)] AUTHOR: David M; Louis P; Potard B; Petit A; Coulon C Brenot R PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Fre SOURCE: Ann Chir 1981;35(3):187-90 62 NLM CIT. ID: 81187553 TITLE: Two-dimensional echocardiographic diagnosis of a ruptured right sinus of Valsalva aneurysm. AUTHOR: Schatz RA; Silverman NH; Ports TA; Bowen TE; Tri TB Schiller NB PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Chest 1981 May;79(5):584-6 63 NLM CIT. ID: 81176138 TITLE: [Aneurysm of Valsalva's sinus perforating into the right ventricle, associated with interventricular communication] AUTHOR: Berrazueta JR; Sanchez Gonzalez A; Mortera C Carrion MF; Baldo E; Vega JL; Leon Massieu G; Martin Duran R PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Spa SOURCE: Rev Clin Esp 1980 Nov 30;159(4):281-4 64 NLM CIT. ID: 81131716 TITLE: Uncomplicated sinus of Valsalva aneurysm detected by echocardiography in an asymptomatic patient: case report. AUTHOR: Zoneraich S; Garvey J; Gupta MP; Zoneraich O PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Echocardiography was extremely useful in detecting a distinctive echographic pattern with uncomplicated right sinus of Valsalva aneurysm. The patient was clinically asymptomatic. The chest x-ray showed a normal cardiac silhouette. Electrocardiographic abnormalities including first degree atrio-ventricular block, right bundle branch block, and left anterior hemiblock observed during a routine cardiac clinic visit led to the echocardiographic investigation. The right sinus of Valsalva aneurysm protruded high into the septum and into the left ventricular chamber adjacent to the interventricular septum. At surgery, the aneurysm was closed by the placement of a Dacron elastic patch. SOURCE: Angiology 1981 Jan;32(1):34-9 65 NLM CIT. ID: 81112599 TITLE: Echocardiographic diagnosis of congenital sinus of Valsalva aneurysm with dissection of the interventricular septum. AUTHOR: Engel PJ; Spitz H; van der Bel-Kahn J; Held JS PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A case is reported in which a congenital aneurysm of the right coronary sinus of Valsalva ruptured and dissected into the interventricular septum. M-mode and cross-sectional echocardiographic examination allowed accurate preoperative assessment of the pathologic anatomy, which was confirmed by angiography, surgery and autopsy. Dissection of the interventricular septum by a congenital sinus of Valsalva aneurysm is a rare lesion, has a poor prognosis, and can be diagnosed noninvasively with echocardiography. SOURCE: Circulation 1981 Mar;63(3):705-11 66 NLM CIT. ID: 81110192 TITLE: Detection of ruptured aneurysm of sinus of Valsalva by contrast two-dimensional echocardiography. AUTHOR: Nakamura K; Satomi G; Suzuki S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng REGISTRY NUMBERS: 0 (Contrast Media) ABSTRACT: The M-mode and two dimensional echocardiographic features are described of a patient with rupture of a sinus of Valsalva aneurysm into the right atrium. A clear echo-free zone arising from the tip of the aneurysm is visualised in the right atrium in diastole by peripheral injection of echocardiographic contrast material. At surgery a fistula was seen between the non-coronary cusp and the right atrium. SOURCE: Br Heart J 1981 Feb;45(2):219-21 67 NLM CIT. ID: 81104869 TITLE: Deductive echocardiography in a case of ruptured sinus valsalva aneurysm into the right ventricle. AUTHOR: Kasper W; Just H; Meinertz T PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: The echocardiographic features of ruptured sinus of valsalva aneurysm were described in a 32-year-old man. The diagnosis was established deductively using the precordial, subxiphoidal and suprasternal approach. Despite careful scanning no discontinuity between the anterior aortic wall and the interventricular septum could be observed, thus demonstrating directly the perforated part of the aneurysm. However, the abnormal motion pattern of the tricuspid valve on the subxiphoid echocardiogram and the enlarged right ventricular cavity suggested involvement of the right ventricle. Pre- and postoperative findings were compared. SOURCE: Z Kardiol 1980 Apr;69(4):287-90 68 NLM CIT. ID: 81089959 TITLE: [Echocardiographic manifestations of ruptured aneurysm of right sinus of Valsalva into right ventricle] AUTHOR: Liu HY; Li ZS PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Chi SOURCE: Chung Hua Hsin Hsueh Kuan Ping Tsa Chih 1980 Mar;8(1):10-2 69 NLM CIT. ID: 81050207 TITLE: [A case report of ruptured aneurysm of sinus of Valsalva (IIIv type) (author's transl)] AUTHOR: Aoyagi S; Kagiyama N; Imawatari R; Itoh Y Takayama K; Jinnouchi J; Kamogawa T; Uchiyama H; Kosuga K Akasu I; Toyomasu H PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1980 Oct;33(10):780-3 70 NLM CIT. ID: 81043361 TITLE: Ruptured sinus of Valsalva aneurysm: diagnosis by echocardiography. AUTHOR: Haaz WS; Spitzer S; Parry W; Mintz GS; Kotler MN PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Fluttering of the right side of the interventricular septum noted on M-mode echocardiography in association with a bulging of the right sinus of Valsalva detected by two-dimensional echocardiography were present in a patient. These two echocardiographic findings should alert the clinician to a diagnosis of a ruptured sinus of Valsalva aneurysm. SOURCE: Chest 1980 Nov;78(5):781-4 71 NLM CIT. ID: 80207614 TITLE: [Three cases of the aneurysm of the Valsalva sinus directed to the right atrium (author's transl)] AUTHOR: Sato H; Sugie S; Tanabe T; Kuroshima S; Kawakami T Ota S; Yokota A; Kataoka K; Yasuda Y; Matsukura H; Myojin K Maeda Y; Honma H; Iju M; Shimozawa E; Aoki H; Watanabe F PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1980;33(5):356-61 72 NLM CIT. ID: 80163243 TITLE: Ruptured congenital aneurysm of the right sinus of Valsalva into the right ventricle: with special reference to pathoanatomic and hemodynamic characteristics in symptomless cases. AUTHOR: Chen JJ; Wu TL; Chu SS; Hung CR; Lee YS; Chang FZ Lien WP PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Clinical features of 19 cases with congenital aneurysm of the right sinus of Valsalva rupturing into the right ventricular outflow region (Type 1) were analysed in relation to their pathoanatomic lesions and hemodynamic alterations. Sixteen cases were operated with one surgical death. All were catheterized together with ascending aortographic study. Rupture of the aneurysm in many cases was silent or symptomless and progressive heart failure was not quite common. Symptomatology of the patients did not seem to be related entirely to status of the pathoanatomical lesions or hemodynamic alterations. Time of the rupture, and inherent right ventricular characteristics, tolerating volume overload rather well, might be, in part, responsible for its better prognosis in some cases. However, all patients with ruptured aneurysm of the sinus of Valsalva should be treated surgically. Bacterial endocarditis is a serious complication leading to death. SOURCE: Jpn Circ J 1980 Feb;44(2):87-94 73 NLM CIT. ID: 80156228 TITLE: Echocardiographic features of an unruptured aneurysm of the right sinus of Valsalva. AUTHOR: Shulman R; Parisi AF; Ray BJ; Khuri S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A 2-cm aneurysm of the right sinus of Valsalva was documented in a patient with a prosthetic aortic valve. The M-mode findings differed from prior reports and mimicked those of aortic root dissection or a catheter placed in the right ventricular outflow tract. Two-dimensional echocardiograms readily distinguished the aneurysm of the right sinus of Valsalva from the alternative possibilities. SOURCE: Chest 1980 May;77(5):700-2 74 NLM CIT. ID: 80141305 TITLE: [An autopsy case of aneurysm of the right coronary sinus of Valsalva with rupture into the left ventricle (author's transl)] AUTHOR: Moritani Y; Hayashi K; Sakakibara H; Hata T Nakahara J; Taniguchi G; Sakai Y PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1980 Jan;33(1):62-6 1 NLM CIT. ID: 80044872 TITLE: Congenital cardiovascular abnormalities usually "silent" until adulthood: morphologic features of the floppy mitral valve, valvular aortic stenosis, discrete subvalvular aortic stenosis, hypertrophic cardiomyopathy, sinus of Valsalva aneurysm, and the Marfan syndrome. AUTHOR: Roberts WC PUBLICATION TYPES: JOURNAL ARTICLE REVIEW LANGUAGE: Eng SOURCE: Cardiovasc Clin 1979;10(1):407-53 2 NLM CIT. ID: 79038403 TITLE: [Aneurysm of Valsalva's sinus, apropos of 7 surgical cases[ AUTHOR: Cham B; Cabrol A; Mattei MF; Guiraudon G Gandjbakhch I; Sahoun Y; Azimi M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Fre ABSTRACT: The authors describe 7 cases of rupture of the Valsalva sinus. Until rupture the aneurysm is silent. Aortic insufficiency and left to right shunt are major components of this syndrome. Surgical treatment under extra-corporal circulation needs aortotomy and an approach of the ruptured extremity to close the defect and maintaining the integrity of the valvular structures. SOURCE: Acta Cardiol 1978;33(3):195-203 3 NLM CIT. ID: 81035251 TITLE: Surgical correction of ruptured aneurysm of aortic sinus of Valsalva. AUTHOR: Kim KS; Hong SN; Cho BK PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Yonsei Med J 1979;20(2):162-9 4 NLM CIT. ID: 80191273 TITLE: [Ruptured aneurysm of the sinus of Valsalva. Report of 3 cases (author's transl)] AUTHOR: Chamorro H; Edwards A; Kandora H; Prat H; Cohen H PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Spa SOURCE: Rev Med Chil 1979 Jul;107(7):615-23 5 NLM CIT. ID: 80157497 TITLE: [Echocardiographic patterns of congenital aneurysm of the sinus of Valsalva. Review of literature and report of three cases (author's transl)] AUTHOR: Purcaro A; Di Luzio V; Ciampani N; Capestro F PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ita ABSTRACT: The (M-mode) echocardiographic patterns of three patients with congenital aneurysm of the right sinus of Valsalva are reported. In two patients the aneurysm ruptured into the right ventricular cavity. In the third case, in which the lesion was associated with coarctation of the aorta, no communication was shown between the aorta and other cardiac chambers. The characteristic echocardiographic features of the right coronary sinus aneurysm (either with or without rupture in the right ventricular cavity) consist of: 1) The presence of echoes (referable to the right aortic cusp pattern of motion) encroaching the right ventricular outflow tract. 2) The presence of the same box-shaped echoes at a low level of the left ventricular cavity, which seem to "cross" the septum (from the left to the right ventricular outflow tract). These images would reflect the "prolapse" of the affected cusp. Other common, but non-specific echocardiographic features of the lesion are: an indistinct contour of the anterior wall of the aortic root (probably due to dilatation of the right coronary sinus) and systolic indentations on the right anterior aortic cusp echoes. SOURCE: G Ital Cardiol 1979;9(7):734-43 6 NLM CIT. ID: 80050886 TITLE: [Report of a case of ruptured sinus of Valsalva aneurysm into left ventricle (author's transl] AUTHOR: Kazui T; Komatsu S; Tanaka N; Sugiki K; Asai Y PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1979 Sep;27(9):1335-9 7 NLM CIT. ID: 80046010 TITLE: Ruptured aneurysm of aortic sinus of Valsalva into right ventricle. AUTHOR: Anzai N; Miyazawa S; Kazama Y; Fijii N; Yamada M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: We report a patient with ruptured aneurysm of the aortic sinus of Valsalva into the right ventricle, whose heart murmur represented only a diastolic element without aortic regurgitation. Surgery revealed a small opening through myocardium of the ventricular septum without ventricular septal defect. During systole, the opening was constricted and presumably closed with myocardial contraction, and left-to-right shunt might have occurred only in diastole. This might lead to only a diastolic murmur. SOURCE: Chest 1979 Nov;76(5):594-6 8 NLM CIT. ID: 80038268 TITLE: [Perforation of a Valsalva sinus aneurysm into the right atrium] AUTHOR: Huth JH; Podszus G PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ger SOURCE: Zentralbl Chir 1979;104(11):725-8 9 NLM CIT. ID: 80023327 TITLE: [Aneurysm of Valsalva's sinus ruptured into the right atrium. Echographic study] AUTHOR: Lebreton G; Foucault JP; Vautier P; Khayat A Potier JC PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Fre SOURCE: Coeur Med Interne 1979 Apr-Jun;18(2):359-66 10 NLM CIT. ID: 80009891 TITLE: [A case report of the ruptured aneurysm of sinus of Valsalva (IIIv type) with severe right atrial shunt (author's transl)] AUTHOR: Fujiwara T; Katsumura T; Nogami A; Masaki H; Kiso A Kinugasa Y; Sato M; Takahara I; Motohiro K; Yamane M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1979 Jul;32(7):548-51 11 NLM CIT. ID: 80005433 TITLE: Anomalous right ventricular muscle bundle associated with ruptured aneurysm of the sinus of Valsalva. AUTHOR: Kaul UA; Khalilullah M; Sathyamurthy I; Kaul U PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Indian Heart J 1979 Mar-Apr;31(2):117-20 12 NLM CIT. ID: 79240702 TITLE: [Surgery of ventricular septal defects and heart anomalies associated with ventricular septal defects: surgery of ventricular septal defects associated with patent ductus arteriosus and those with rupture of Valsalva's sinus aneurysm] AUTHOR: Teramoto S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1979 Apr;27(4):571-5 13 NLM CIT. ID: 79235700 TITLE: Aneurysm of the left sinus of Valsalva draining into the right atrium. AUTHOR: Oberhansli I; Friedli B PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: We report the case of an arteriovenous fistula connecting the aorta to the right atrium, due to a ruptured aneurysm of the left sinus of Valsalva. Clinical, echocardiographic, and angiographic aspects of this unusual lesion are discussed and correlated. Emphasis is put on the diagnostic value of the echocardiogram; a characteristic dense echo parallel to the posterior aortic wall is seen, along with signs of right ventricular volume overload. Combined with the case history and auscultatory finding (a continuous murmur on the right sternal edge), this may lead to the correct diagnosis by noninvasive means. SOURCE: Chest 1979 Sep;76(3):322-4 14 NLM CIT. ID: 79197906 TITLE: Ventricular tachycardia secondary to aneurysm of sinus of Valsalva. AUTHOR: Raizes GS; Puga FJ; Vlietstra RE; Smith HC PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A patient with unruptured aneurysm of the sinus of Valsalva presented because of ventricular tachycardia refractory to medical therapy. The underlying problem was not suspected until cardiac catheterization. Once the aneurysm was repaired, the tachycardia was abolished; the patient required no antiarrhythmic drugs. Two points are emphasized: First, cardiac catheterization is often indicated early in cases of ventricular tachycardia without obvious cause. Second, recurrent ventricular tachycardia is a hitherto unreported but important complication of sinus of Valsalva aneurysm. SOURCE: J Thorac Cardiovasc Surg 1979 Jul;78(1):110-5 15 NLM CIT. ID: 79158129 TITLE: Aneurysm of the sinus of Valsalva: its natural history. AUTHOR: Sher RF; Bemis CE; Iskandrian AS; Segal BL Kimbiris D PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: This case demonstrates that complications develop with aneurysm of the sinus of Valsalva. The aneurysm is diagnosed almost exclusively only after rupture. We feel that echocardiography provides a convenient means to follow cases of suspected aneurysms. A change in aortic root size may indicate imminent rupture. Fluttering of the anterior leaflet of the mitral valve would suggest aortic insufficiency, while an increase in right ventricular size coupled with paradoxical septal motion would strongly suggest a left-to-right shunt. Change in a murmur or in the aortic silhouette probably warrants cardiac catheterization. If rupture is suggested by clinical findings and corroborated by catheterization, surgery is indicated to prevent progressive cardiac failure. SOURCE: Postgrad Med 1979 May;65(5):191-3 16 NLM CIT. ID: 79143863 TITLE: Aneurysm of sinus of Valsalva with coronary atherosclerosis: successful surgical correction. AUTHOR: Debakey ME; Lawrie GM PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A case of acquired aneurysm of the sinus of Valsalva, associated with severe coronary atherosclerosis and successfully treated surgically, is reported. The unusual features of the case are the presenting symptom (angina pectoris) and the cause of the aneurysm (severe coronary atherosclerosis). SOURCE: Ann Surg 1979 Mar;189(3):303-5 17 NLM CIT. ID: 79140642 TITLE: [Aneurysm of Valsalva's sinus (author's transl)] AUTHOR: Aigner A; Hofstadter F PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ger ABSTRACT: An aneurysm of Valsalva's sinus is one of the rarest malformations of the aortic root. The case of a non-ruptured aneurysm is reported and the possible pathogenic mechanisms of the congenital and the acquired forms of this aneurysm are discussed, as well as the clinical symptoms and the diagnostic procedures. Finally, the necessity of surgical treatment of the aneurysm is pointed out. SOURCE: Wien Klin Wochenschr 1979 Mar 16;91(6):205-8 18 NLM CIT. ID: 79175756 TITLE: Ruptured sinus of Valsalva aneurysm into the left ventricle. AUTHOR: Yoshida S; Miyahara M; Chida A; Togashi M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A rare case of sinus of Valsalva aneurysm ruptured into the left ventricle was reported. The echocardiogram was suggestive of the diagnosis. The abnormal echo extended from the aortic root to the left ventricular cavity in diastole and disappeared in systole. Discussion was made on the etiology and differential diagnosis. SOURCE: Jpn Heart J 1978 Nov;19(6):954-60 19 NLM CIT. ID: 79128852 TITLE: [Ruptured aneurysm of the sinus of Valsalva] AUTHOR: Amikam S; Riss E; Peleg H; Roguin N; Yahalom M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Heb SOURCE: Harefuah 1978 Nov 15;95(10):342-4 20 NLM CIT. ID: 79089754 TITLE: [Rupture of aneurysm of the sinus of Valsalva--a review of eight cases including a surgical repair in a critical point--(author's transl)] AUTHOR: Takeuchi E; Aihara N; Hotta A; Hiramatsu H Kuroiwa T; Miura A; Fukuda I; Sugiyama N; Nogaki H; Murase M Shimizu T; Tsuchioka H; Iyomasa Y PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1978 Nov;26(11):1449-56 21 NLM CIT. ID: 79051149 TITLE: [Ruptured aneurysm of the sinus of Valsalva into right atrium--a report of two cases treated surgically (author's transl)] AUTHOR: Takahashi M; Abe T; Tonooka I; Sakurada T; Takano H Yamamoto H; Okubo T; Nieda S; Sato M; Kuribayashi R PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1978 Nov;31(11):846-50 22 NLM CIT. ID: 79049381 TITLE: [Ruptured aneurysm of the sinus of Valsalva--report of collective operative cases in Japan (author's transl)] AUTHOR: Inoue T PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1978 Jun;26(6):651-5 23 NLM CIT. ID: 79030367 TITLE: [A case report of ruptured aneurysm of sinus of Valsalva into the right ventricle presenting with peculiar echocardiographic findings (author's transl)] AUTHOR: Tanae H; Hurukawa Y; Watanabe Y; Nakai T; Ogawa T Matsuda M; Watanabe Y; Okamoto Y PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1978 Sep;31(9):670-4 24 NLM CIT. ID: 79028386 TITLE: [Surgical treatment of aneurysm of the sinus of Valsalva] AUTHOR: Hashimoto M; Ishihara K; Shimazu K; Hangaya S Tatsuno K PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1978 Mar;26(3):299-301 25 NLM CIT. ID: 79028385 TITLE: [Surgical treatment and follow-up results of ruptured aneurysm of the sinus of Valsalva] AUTHOR: Furuse A PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1978 Mar;26(3):297-8 26 NLM CIT. ID: 79028384 TITLE: [Surgery and follow-up results of ruptured aneurysm of the sinus of Valsalva] AUTHOR: Okada M; Ogawa K; Tsushima S; Hashimoto K; Asada S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1978 Mar;26(3):294-7 27 NLM CIT. ID: 79028383 TITLE: [Surgical treatment of acquired or congenital aneurysm of the sinus of Valsalva--disease types and surgical methods] AUTHOR: Mori T; Manabe H; Fujita T; Kawashima Y PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1978 Mar;26(3):291-4 28 NLM CIT. ID: 79028381 TITLE: [Surgical pathology and etiological mechanism of aneurysm of the sinus of Valsalva] AUTHOR: Shohtsu A; Yamazaki S; Koide S; Kawada S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1978 Mar;26(3):287-9 29 NLM CIT. ID: 79008770 TITLE: [Valsalva's sinus aneurysm] AUTHOR: Kaminska E; Rydlewska-Sadowska W; Ru~zyllo W PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Pol SOURCE: Kardiol Pol 1978;21(3):261-70 30 NLM CIT. ID: 79008289 TITLE: [Aneurysm of the sinus of Valsalva] AUTHOR: Taniguchi K PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Rinsho 1978 May;Suppl:2008-9 31 NLM CIT. ID: 79002945 TITLE: Aneurysm of sinus of Valsalva: cause of dynamic coronary constriction after aortic valvular replacement and bacterial endocarditis. AUTHOR: Feldman RL; Conti CR; Pepine CJ; Buchoff HS PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A patient who had endocarditis on a prosthetic aortic valve and who had undergone two aortic valvular replacements developed classic angina pectoris. Cardiac catheterization revealed an aneurysm of the left sinus of Valsalva, which constricted a proximal segment of the left circumflex coronary artery during systole. This type of dynamic coronary arterial narrowing has not been previously described secondary to an aneurysm of a sinus of Valsalva and may be responsible for this patient's manifestations of ischemia. SOURCE: Chest 1978 Sep;74(3):312-4 32 NLM CIT. ID: 78182712 TITLE: [Rupture of sinus of valsalva aneurysm. Differentiation from cardiac contusion (author's transl)] AUTHOR: Schmidt-Redemann B; Schlosser V; Ahmadi A Spillner G PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ger ABSTRACT: The diagnostic aspects of rupture sinus of Valsalva aneurysm are discussed. The indication for corrective surgery can only be derived by angiocardiography. Important is the demonstration of pathophysiological hemodynamics, due to the cardiovascular anomaly. The importance of echocardiographic findings in an early phase of the clinical examination is stressed. SOURCE: Z Kardiol 1978 May;67(5):362-4 33 NLM CIT. ID: 78112657 TITLE: Aortico--left ventricular tunnel and sinus of Valsalva aneurysm. Case report with operative repair. AUTHOR: Spooner EW; Behrendt DM; Dunn JM PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Aortico--left ventricular tunnel (ALVT) is a rare anomaly, only 21 such cases having appeared in the literature. This report describes a case of ALVT in which there were features characteristics of sinus of Valsalva aneurysm (SVA). Details of the operative repair are discussed. SOURCE: J Thorac Cardiovasc Surg 1978 Feb;75(2):232-6 34 NLM CIT. ID: 78083298 TITLE: Echocardiographic features of an aneurysm of the left sinus of Valsalva. AUTHOR: Wong BY; Dunn MI; Bogart DB PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: The echocardiographic features of an aneurysm of the left sinus of Valsalva are described and correlated with angiographic findings. The echocardiogram showed the presence of a thin line of echoes occurring proximal to the anterior leaflet of the mitral valve and moving in and out of apposition with the posterior aortic wall. During systole, this line of echoes moved away from the aorta into the left atrium, and during diastole, the line moved into the aorta. Recognition of these features provides a potential noninvasive way to diagnose aneurysms of the left sinus of Valsalva prior to rupture. SOURCE: Chest 1978 Jan;73(1):105-7 35 NLM CIT. ID: 78154138 TITLE: [Pain of the frontal thorax, backache and dyspnea (heart sounds, echocardiography and cardiac radiography): (aneurysm of Valsalva's sinus rupturing into the left ventricle)] AUTHOR: Usui Y; Miyazawa N; Kimura T; Saijo S; Unno K PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Rinsho 1977 Fall;35 Suppl 2:2970-1, 3330-1 36 NLM CIT. ID: 78047253 TITLE: Ruptured aneurysm of sinus of Valsalva, surgical treatment: a report of three cases. AUTHOR: Buranadham C; Manothaya C; Kurowat Y PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: J Med Assoc Thai 1977 Oct;60(10):522-30 37 NLM CIT. ID: 78046982 TITLE: [Ruptured aneurysm of the sinus of Valsalva into left atrium and left ventricle--a report of successful correction (author's transl)] AUTHOR: Shimazaki Y; Takano H; Danno M; Fujita T Kawashima Y PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1977 Aug;25(8):1067-73 38 NLM CIT. ID: 78033675 TITLE: [Ventricular septal defect associated with aortic insufficiency and aneurysm of sinus Valsalva (author's transl)] AUTHOR: Fujioka Y PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kokyu To Junkan 1977 Oct;25(10):873-80 39 NLM CIT. ID: 77165340 TITLE: Surgical correction of the ruptured aneurysm of the sinus of Valsalva. AUTHOR: Okada M; Asada S; Mukubo M; Muranaka S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: J Cardiovasc Surg (Torino) 1977 Mar-Apr;18(2):171-80 40 NLM CIT. ID: 77177874 TITLE: [Rupture of Valsalva's sinus aneurysm] AUTHOR: Papo I; Jablanov J; Albreht M; Martinovic N Sokolic J PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Scr SOURCE: Acta Chir Iugosl 1975;22(1 Suppl):357-60 41 NLM CIT. ID: 76218646 TITLE: Aneurysm of the sinus of Valsalva producing obstruction of the left main coronary artery. AUTHOR: Garcia-Rinaldi R; Howell JF; Von Koch L PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: An aneurysm of the left sinus of Valsalva compressed the left main coronary artery and the patient experienced anginal pain. Surgical correction consisted of obliteration of the orifice of the aneurysm, aortic valve replacement, and a saphenous vein bypass from the ascending aorta to the distal left anterior descending coronary artery. Postoperative studies revealed excellent function of the prosthetic valve, no recurrence of the aneurysm and retrograde filling of the left anterior descending and circumflex coronary arteries. Three years after the operation, the patient is asymptomatic. SOURCE: J Thorac Cardiovasc Surg 1976 Jul;72(1):123-6 42 NLM CIT. ID: 77086874 TITLE: Urgent aortic valve replacement in disseminated gonococcaemia associated with sinus of Valsalva aneurysm and fistula formation. AUTHOR: Hilless AD; Molloy PJ PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A patient with aortic valve disruption due to gonococcal endocarditis and associated with a sinus of Valsalva aneurysm and fistula into the right ventricle is described. The rarity of this combination of conditions and the place of surgery in their management are discussed. SOURCE: Aust N Z J Surg 1976 Aug;46(3):246-8 43 NLM CIT. ID: 78020429 TITLE: [Obstruction of the outflow from the right ventricle by an aneurysm of Valsalva's sinus] AUTHOR: Scialdone A; Jacono A; Sante P PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ita SOURCE: Boll Soc Ital Cardiol 1976;21(6):1021-7 44 NLM CIT. ID: 78020412 TITLE: [The importance of demonstration of aortic insufficiency in the angiographic diagnosis of Valsalva's sinus aneurysm] AUTHOR: Cucchini F; Ferrari R; Di Donato M; Marcato M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ita SOURCE: Boll Soc Ital Cardiol 1976;21(5):785-93 45 NLM CIT. ID: 77092793 TITLE: Unruptured aneurysm of the sinus of Valsalva causing tricuspid valvular dysfunction. AUTHOR: Datta BN; Wahi PL; Khanna V PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Indian Heart J 1976 Jul;28(3):198-9 46 NLM CIT. ID: 77092789 TITLE: Rupture of aneurysm of sinus of Valsalva. AUTHOR: Attal HC; D'Souza EH; Patoria NK PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Indian Heart J 1976 Jul;28(3):183-5 47 NLM CIT. ID: 77050330 TITLE: Aneurysm of sinus of valsalva associated with rheumatic valvular disease. AUTHOR: Srinivasa Rao K; Venkataramana G; Syamasundara Rao P PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Indian Heart J 1976 Jan;28(1):69-72 48 NLM CIT. ID: 76276379 TITLE: Aneurysm of the sinus of Valsalva. Clinical considerations and surgical treatment of five patients. AUTHOR: Larmi TK; Kairaluoma MI; Karkola P PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Five patients underwent operative repair of an aneurysm of the sinus of Valsalva. Four of the aneurysms were considered as congenital and one as mycotic. There were four males and one female. One patient with VSD and characteristics of Marfan's syndrome die on the first postoperative day of a recurrence of fistulae. The follow-up time is over one year for all but one of the surviving patients. There are no late deaths, and all patients are doing well. Aneurysms and fistulae of the sinus of Valsalva, which are perhaps not as rare as was previously thought, present a challenging surgical problem. Ruptured aneurysms and fistulae, even if asymptomatic, should be treated operatively, preferably by a transaortic approach. SOURCE: Ann Chir Gynaecol 1976;65(2):117-23 49 NLM CIT. ID: 76241648 TITLE: Ruptured Valsalva sinus aneurysm. AUTHOR: Ohyumi M; Nakagawa S; Yoshikawa S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Kumamoto Med J 1976 Mar 31;29(1):44-9 50 NLM CIT. ID: 76234935 TITLE: Ruptured aneurysm of aortic sinus of Valsalva into right atrium. Associated atrioventricular block presumable caused by aneurysmal compression of His bundle. AUTHOR: Anzai N; Yamada M; Sano A; Takanashi Y; Okada T PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: We have seen a case of rupture of an aneurysm of the noncoronary sinus into the right atrium. Surgery revealed an aneurysmal mass the size of the tip of an index finger extending through the inter-atrial septum down to just above the tricuspid valvular ostium. An electrocardiogram showed first-degree atrioventricular block, while the His bundle electrogram demonstrated the presence of disturbances in the intra-atrial as well as His bundle conduction. The disturbance in His bundle conduction was interpreted as being due to compression of the His bundle by the aneurysm. SOURCE: Chest 1976 Aug;70(2):309-11 51 NLM CIT. ID: 76147663 TITLE: [Ruptured aortic aneurysm of Valsalva's sinus into the right atrium--a case study] AUTHOR: Koyanagi H; Yamazaki S; Ishikura Y PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1976 Jan;29(1):67-71 52 NLM CIT. ID: 76144874 TITLE: [Successful surgical management of aneurysm of the Valsalva's sinus rupturing into the right atrium, with special reference to considerations on its clinical classification] AUTHOR: Yuzuriha H; Shida H; Inokawa K; Seki T; Morimoto M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1976 Jan 10;24(1):70-5 53 NLM CIT. ID: 76205161 TITLE: Calcified luetic aneurysm of a sinus of Valsalva and ascending aorta. PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Ariz Med 1976 Mar;33(3):203-4 54 NLM CIT. ID: 76194775 TITLE: Congenital aneurysm of the sinus of Valsalva protruding into the left ventricle. Review of diagnosis and treatment of the unruptured aneurysm. AUTHOR: Heydorn WH; Strevey TE; Floyd GD; Fitterer JD Nelson WP PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: During a routine physical examination, a 34-year-old man, in apparent good health, had an electrocardiogram which revealed left axis deviation. Cardiac evaluation disclosed mild aortic regurgitation and left anterior fascicular block. Nine months later, the patient was admitted to the critical care unit after he had experienced cardiac arrest while jogging. Angiograms demonstrated a large unruptured aneurysm in the right coronary sinus of Valsalva protuding into the left ventricle. Echocardiographic manifestations also suggested also suggested a sinus of Valsalva aneurysm. The defect was repaired through an aortic approach. The aneurysmal sac was emptied and the neck sutured securely. Twenty-two months postoperatively, the patient continues to be asymptomatic. We anticipate that this will decrease the threat of recurrent arrhythmias.. SOURCE: J Thorac Cardiovasc Surg 1976 Jun;71(6):839-45 55 NLM CIT. ID: 76138538 TITLE: Real-time observation of ruptured right sinus of Valsalva aneurysm by high speed ultrasono-cardiotomography. Report of a case. AUTHOR: Nishimura K; Arakawa T; Fukui Y; Kato T; Hibi N PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: A two-dimensional echocardiographic manifestation of a ruptured right sinus of Valsalva aneurysm is described in this case report. The ultrasono-cardiotomograms demonstrated the aneurysm cut longitudinally and protruding into the outflow tract of the right ventricle. The configuration of the aneurysm was consistent with the contrast medium-filled sinus demonstrated by angiocardiography. In systole, the aneurysmal sinus moved anteroinferiorly together with the aortic wall. The echocardiogram revealed an abnormal two-layered horizontal echo in the right ventricle which showed the aneurysm when the ultrasonic beam passed through the interventricular septum near the aortic root and mitral leaflets. During the operation, the protruding sinus and a small interventricular septal defect in the membranous septum under it were observed through the opened right ventricle. After the closure of the aneurysm, the two-dimensional echocardiogram no longer showed an abnormal configuration. SOURCE: Circulation 1976 Apr;53(4):732-5 56 NLM CIT. ID: 76090750 TITLE: Echocardiography diagnosis of ruptured aneurysm of sinus of Valsalva. Report of two cases. AUTHOR: Matsumoto M; Abe H; Nimure Y; Kawashima Y Yoshioka Y; Beppu S; Matsuo H PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Echocardiographic features of two cases of ruptured congenital aneurysm of Valsalva sinus with (case1) and without (case 2) a supracristal ventricular defect were studied before and after surgery by standard echocardiography. M-mode scan and two-dimensional echocardiography. Discontinuity was observed in the echo from the aneurysm wall of the Valsalva sinus in case 1 with ruptured aneurysm, but was not observed in a similar case of unruptured aneurysm. Herniation of the right coronary cusp of the aortic valve into the right ventricular outflow tract was also observed in case 1. After surgical correction the echo from the aneurysm wall and from the herniated right coronary cusp of the aortic valve disappeared. Discontinuity in the echo from the anterior aortic wall and the interventricular septum also disappeared. In case 2, discontinuity in the echo from the anterior aortic wall, and tricuspid flutter with an abnormally low early diastolic peak were observed. These abnormalities disappeared after surgery. The ability of echocardiography to detect ruptured Valsalva aneurysm is discussed. SOURCE: Circulation 1976 Feb;53(2):382-9 57 NLM CIT. ID: 76141490 TITLE: Aneurysm of the sinus of Valsalva. AUTHOR: Jhala CI; Dalal BJ PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Indian Heart J 1975 Oct;27(4):280-2 58 NLM CIT. ID: 76049255 TITLE: [Rupture of aortic aneurysm of the Valsalva's sinus into the right atrium -- a surgical case] AUTHOR: Iwahori Y; Suzuki Y; Nakajima M; Inoue K; Yamamoto N PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1975 Oct 1;28(10):733-6 59 NLM CIT. ID: 76121387 TITLE: Aneurysm of sinus of Valsalva. AUTHOR: Advani SH; Joshi VR; Ahmed MA PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: J Indian Med Assoc 1975 Sep 1;65(5):154-5 60 NLM CIT. ID: 76078550 TITLE: Rupture of a congenital aneurysm of the non-coronary sinus of valsalva into the left atrium. AUTHOR: Davies GJ; Muir JR PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Proc R Soc Med 1975 Nov;68(11):745-6 61 NLM CIT. ID: 76043745 TITLE: Ruptured sinus of Valsalva aneurysm with aortic-left atrial fistula. AUTHOR: Davies GJ; Muir JR; Watt J PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: We report the case of a previously healthy 56-year-old male who suddenly developed severe chest pain and pulmonary edema. Cardiac catheterization and angiography revealed an aneurysm of the noncoronary sinus of Valsalva which had ruptured into the left atrium. This was confirmed at operation and it was noted that there were no signs of bacterial infection or rheumatic valve disease. We therefore concluded that the aneurysm was of congential origin. A successful repair of the defect was carried out and the patient made a satisfactory recovery. There are only 3 other reported cases of rupture of a congenital sinus of Valsalva aneurysm into the left atrium, and in only one case did the aneurysm originate from the noncoronary sinus and this patient had associated rheumatic aortic and mitral valve disease. We have received the classification of sinus of Valsalva aneurysms, the associated congenital and acquired defects and the presenting features of unruptured and ruptured aneurysms. SOURCE: Eur J Cardiol 1975 Oct;3(3):213-8 62 NLM CIT. ID: 76012948 TITLE: [Congenital aneurysm of sinus Valsalva (author's transl)] AUTHOR: Maeta H; Konno S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kokyu To Junkan 1975 May;23(5):417-23 63 NLM CIT. ID: 75214977 TITLE: [Surgical management of aneurysm of Valsalva's sinus with special reference to the management and clinical course of the associated aortic valve insufficiency] AUTHOR: Yokota A; Sasa T; Honma J; Ikeda H; Matsuyama M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1975 Apr;28(4):229-37 64 NLM CIT. ID: 75190529 TITLE: [Rupture of aneurysm of the Valsalva's sinus into the right atrium] AUTHOR: Anzai N; Yamada M; Sano A; Takanashi Y; Okada T PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1975 Apr;23(4):444-9 65 NLM CIT. ID: 75172639 TITLE: [Congenital aneurysm of the sinus of Valsalva - clinical features before and after rupture] AUTHOR: Takatsu T; Chin N; Kitaura Y; Kurimoto K; Sonotani N PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Rinsho 1975 Apr 10;33(4):1646-58 66 NLM CIT. ID: 76008154 TITLE: [Proceedings: Ruptured aneurysm of the Valsalva's sinus] AUTHOR: Suzuki T; Senda H; Baba E; Murase K; Hirose M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Jpn Circ J 1975 Jul;39(7):875 67 NLM CIT. ID: 76008072 TITLE: [Proceedings: Surgery of aortic valve stenosis complicated with ventricular septal defect, aortic valve insufficiency, and Valsalva's sinus aneurysm] AUTHOR: Tatsuta N; Noguchi K; Tatemichi K; Ban T; Miki N PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Jpn Circ J 1975 Jul;39(7):853 68 NLM CIT. ID: 75214773 TITLE: [Proceedings: Successful surgical treatment of subacute bacterial endocarditis with ruptured aneurysm of the sinus of Valsalva in the right ventricle] AUTHOR: Kubota Y; Harada K; Murakami C; Sakai K PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Jpn Circ J 1975 Jun;39(6):736 69 NLM CIT. ID: 75209685 TITLE: [Surgical correction of a case of valsalva sinus aneurysm and aortic insufficiency caused by salmonella typhi (author's transl)] AUTHOR: Ballerini L; Palminiello A; Soro A; Catalano G Brugnami R PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ita ABSTRACT: The authors describe a case of aneurysm of the non-coronary sinus of Valsalva and aortic insufficiency caused by Salmonella Tiphi in a 7 year old child. The exceptional ethiology is discussed as well as the problems connected with surgical correction. SOURCE: G Ital Cardiol 1975;5(3):417-24 70 NLM CIT. ID: 75185854 TITLE: Premature pulmonic valve opening following sinus of Valsalva aneurysm rupture into the right atrium. AUTHOR: Weyman AE; Chang S; Feigenbaum H; Dillon JC PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Echocardiographic features of a patient with sinus of Valsalva aneurysm rupture into the right atrium are described. The aneurysm presented as a dense echo-producing mass in the right atrium which descended into the tricuspid orifice during diastole and withdrew back into the atrium during ventricular systole. Pulmonic valve exho motion demonstrated early diastolic pulmonic valve opening indicating an early right ventricular diastolic pressure rise exceeding simultaneous pulmonary artery pressure. Since the aorta is the only source of early diastolic pressure in excess of pulmonary artery pressure available to the right heart, this finding of early diastolic pulmonic valve opening indicated the presence of a fistula between the aorta and right heart. Other interesting echocardiographic features of this case are also presented. SOURCE: Circulation 1975 Mar;51(3):556-60 71 NLM CIT. ID: 75161963 TITLE: Unruptured sinus of Valsalva aneurysm. AUTHOR: Fishbein MC; Roberts WC; Obma R PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: An unruptured congenital sinus of Valsalva aneurysm (behind the right aortic valve cusp) is described as an incidental necropsy finding in an 82 year old man. Review of previous reports on aneurysms involving only one of the three aortic sinuses discloses that few cases have been described, and that these lesions are rarely diagnosed during life. It is probable, however, that unruptured aortic sinus aneurysm (involving only one sinus) is more common than previous reports indicate, but that, among patients with congenital sinus aneurysm, rupture is likely to occur. SOURCE: Am J Cardiol 1975 Jun;35(6):918-22 72 NLM CIT. ID: 75130668 TITLE: [Ruptured aneurysm of the aortic sinus of Valsalva (author's transl)] AUTHOR: Hager W; Thurner T PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ger ABSTRACT: Three cases of ruptured aneurysm of the aortic sinus of Valsalva (one each into the right atrium, right ventricle and pulmonary artery) are reported and clinical as well as haemodynamic features described. It is pointed out that the right sinus is most frequently involved, the non-coronary one only rarely, and the left one only quite exceptionally. The clinical findings depend on the size, site and direction of the rupture and its haemodynamic consequences. Rupture occurs most frequently into the right attrium or ventricle, much more rarely into the pulmonary artery or left ventricle. Cardinal clinical signs are retrosternal pain, marked shock with dyspnoea and tachycardia or rapidly progressive cardiac failure. Auscultation reveals either a continuous systolic-diastolic murmur or a holosystolic crescendo-decrescendo murmur followed by a high-frequency diastolic murmur, maximal parasternally in the second to fourth left intercostal spaces. As effective surgical treatment is available, early diagnosis is essential. SOURCE: Dtsch Med Wochenschr 1975 Apr 25;100(17):933-7, 939-42 73 NLM CIT. ID: 75117733 TITLE: Isolated, unruptured sinus of Valsalva aneurysm: serendipitous detection and correction. AUTHOR: Mayer JH 3d; Canent RV; Holder TM PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Reaction of an isolated, unruptured sinus of Valsalva aneurysm is described. Detection was serendipitous in a patient with previous surgical resection and grafting of significant aortic coarctation. The philosophy and importance of proceeding with elective resection in these progressive lesions is emphasized. SOURCE: J Thorac Cardiovasc Surg 1975 Mar;69(3):429-32 74 NLM CIT. ID: 75113575 TITLE: [Rupture of the aneurysm of the sinus of Valsalva] AUTHOR: Neklasov IuF; Sukhov VK; Silin VA; Kachan LV Nikitina NI PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Rus SOURCE: Grudn Khir 1975 Jan-Feb;(1):34-41 75 NLM CIT. ID: 75108026 TITLE: Aneurysm and fistula of the sinus of Valsalva. Clinical considerations and surgical treatment in 45 patients. AUTHOR: Meyer J; Cooley DA; Hallman GL; Wukasch DC PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng ABSTRACT: Aneurysms and fistulas of the sinus of Valsalva, although rare, present a challenging surgical problem. Forty-five patients with this lesion have undergone operative treatment during the last 17 years. The series includes 32 male and 13 female patients ranging in age from 2 to 68 years with a mean age of 35.3 years. Only 1 early death occurred in the series, a hospital mortality of 2.2%. Diagnosis of the aneurysm was made preoperatively in 30 patients and discovered at operation 15. The lesion involved the right coronary sinus in 28 patients, the noncoronary sinus in 19, and the left coronary sinus in 5. The aneurysm had not ruptured in 22 patients and had formed a fistulous communication between the right coronary sinus and the right ventricle in 13. Acute rupture occurred in 10 patients (22.2%). Long-term follow-up data were obtained in 38 patients after 1 to 15 years. Late mortality is low. A nonruptured aneurysm of the sinus of Valsalva should be managed conservatively when it occurs as an isolated lesion. Our experience supports the concept that perforated aneurysms and fistulas of the sinus of Valsalva, even if asymptomatic, should be treated operatively. SOURCE: Ann Thorac Surg 1975 Feb;19(2):170-9 1 NLM CIT. ID: 73045133 TITLE: Unruptured aneurysm of the sinus of valsalva producing right ventricular outflow obstruction. AUTHOR: Kerber RE; Harrison DC; Anderson ET; Silverman JF Kriss JP; Ridges JD PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am J Med 1972 Dec;53(6):775-83 2 NLM CIT. ID: 69192418 TITLE: [The diastolic aortic run-off syndrome and its rare causes: Bland-White-Garland-syndrome, Valsalva-sinus-aneurysm and arteriovenous fistula of the coronary vessels] AUTHOR: Sterz H; Schreyer H; Pirker E; Samec HJ PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ger SOURCE: Z Kreislaufforsch 1969 Mar;58(3):278-89 3 NLM CIT. ID: 75071449 TITLE: [Traumatic aneurysm of a sinus of Valsalva. Apropos of a case] AUTHOR: Lainee R; Acar J; Dahan D; Lule JC; Guilmet D PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Fre SOURCE: Ann Med Interne (Paris) 1974 Jun-Jul;125(6-7):519-24 4 NLM CIT. ID: 76002123 TITLE: [Mycotic aneurysm of Valsalva's sinus] AUTHOR: Vanetti A; Daumet P; Razafinombana A; Nivet M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Fre SOURCE: Coeur Med Interne 1974 Oct-Dec;13(4):687-91 5 NLM CIT. ID: 75033804 TITLE: Mycotic aneurysm of the aortic sinus of Valsalva with rupture. AUTHOR: Qizilbash AH PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Arch Pathol 1974 Dec;98(6):414-7 6 NLM CIT. ID: 75078159 TITLE: [5 cases of ruptured aneurysm of the sinus valsalva and 2 cases of ventricular septal defect with the prolapsed aortic valve without insufficiency] AUTHOR: Anzai T; Matsumoto H; Ida J; Inamura N; Hasegawa S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1974 Sep;22(9):945-50 7 NLM CIT. ID: 75042130 TITLE: [Surgical treatment of ruptured congenital Valsalva's sinus aneurysm] AUTHOR: Furuse A; Kotoda K; Harada Y; Yoshitake T; Mizuno A PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1974 Aug;22(8):799-805 8 NLM CIT. ID: 75020538 TITLE: [Successful surgical repair in a case of coarctation of the aorta, ventricular septal defect, aortic insufficiency and aneurysm of the sinus of Valsalva] AUTHOR: Tatsuta N; Minami K; Noguchi K; Tatemichi K; Miki S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Nippon Kyobu Geka Gakkai Zasshi 1974 Mar;22(3):189-96 9 NLM CIT. ID: 75114032 TITLE: Aneurysm of sinus of Valsalva ruptured into right ventricle--repaired. AUTHOR: Sheth A; Shah S; Mehta MP; Desai MG; Goyal BK Billimoria AR; Coelho LA PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Indian Heart J 1974 Oct;26(4):311-5 10 NLM CIT. ID: 75035023 TITLE: Rupture of a sinus Valsalva aneurysm. Report of a case diagnosed preoperatively by echocardiography. AUTHOR: Cooperberg P; Winsberg F; Mulder DS; Mercer EN PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Radiology 1974 Oct;113(1):171-2 11 NLM CIT. ID: 74279424 TITLE: [Aneurysm and fistula of Valsalva's sinus to the right auricule associated with congenital aortic valve stenosis] AUTHOR: Arguero R; Cantu F; Ruiz V; Ochoa E PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Spa SOURCE: Arch Inst Cardiol Mex 1974 May-Jun;44(3):500-4 12 NLM CIT. ID: 74252157 TITLE: [Perforation of the Valsalva sinus aneurysm into the right heart atrium] AUTHOR: Kalkowski H; Schulz J; Reeps H; Troeger H PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ger SOURCE: Zentralbl Chir 1974 Mar 22;99(12):377-82 13 NLM CIT. ID: 74256793 TITLE: [Rupture of an aneurysm of the sinus of Valsalva of 2 years' duration] AUTHOR: Parkhomenko IuG; Minaev AE PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Rus SOURCE: Kardiologiia 1974 Apr;14(4):139-40 14 NLM CIT. ID: 74257881 TITLE: [Surgery of a ruptured sinus of valsalva aneurysm] AUTHOR: Lorkiewicz Z; Eisner M; Ponizynski A PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ger SOURCE: Zentralbl Chir 1974 Apr 5;99(14):445-8 15 NLM CIT. ID: 74147439 TITLE: Diagnosis and management of sinus of Valsalva aneurysm in children. AUTHOR: Kakos GS; Hosier DM; Williams TE; Kilman JW PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Ann Thorac Surg 1974 May;17(5):474-8 16 NLM CIT. ID: 74126822 TITLE: Echocardiographic manifestation of right sinus of Valsalva aneurysm. AUTHOR: Rothbaum DA; Feigenbaum H; Chang S; Dillon JC PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Circulation 1974 Apr;49(4):768-71 17 NLM CIT. ID: 74107275 TITLE: Case of a sinus of Valsalva aneurysm. AUTHOR: Del Pizzo A PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Conn Med 1974 Mar;38(3):106-9 18 NLM CIT. ID: 74102909 TITLE: [Aneurysm of Valsalva's sinus with aortic and mitral valve insufficiency ("floppy valve") in Marfan's syndrome] AUTHOR: Fricke G; Kuhl I; Simon H PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ger SOURCE: Z Kardiol 1973 Aug;62(8):767-83 19 NLM CIT. ID: 74041734 TITLE: [Asymptomatic rupture of an aneurysm of the right sinus of Valsalva] AUTHOR: Ru~zyllo W; Gurtler-Krawczynska E; Sitkowski W PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Pol SOURCE: Kardiol Pol 1973;16(4):327-31 20 NLM CIT. ID: 73140721 TITLE: [Aneurysm of the sinus of valsalva associated with aortic valve insufficiency and complete atrial block] AUTHOR: Ikeda H; Yasuda K; Hayashida N; Myojin K; Honma H PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1973 Feb;26(2):117-21 21 NLM CIT. ID: 73120722 TITLE: [Rupture of aneurysm of the sinus of Valsalva into the right atrium associated with dextrocardia] AUTHOR: Tan K; Konno S; Okada T; Ishihara A PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1973 Jan;26(1):45-51 22 NLM CIT. ID: 74000743 TITLE: Surgical correction of sinus of Valsalva aneurysm. AUTHOR: Howard RJ; Nicoloff DM; Varco RL; Castaneda AR Moller J PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: J Thorac Cardiovasc Surg 1973 Sep;66(3):420-7 23 NLM CIT. ID: 73233779 TITLE: [Acute unilateral pulmonary edema as the 1st sign of a ruptured aneurysm of the sinus of Valsalva] AUTHOR: Harari A; Langenhagen B de; Geshwind H; Hazan E PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Fre SOURCE: Nouv Presse Med 1973 Jun 30;2(26):1773-5 24 NLM CIT. ID: 73188690 TITLE: [Surgical treatment of ruptured aneurysm of Valsalva's sinus] AUTHOR: Lorkiewicz Z; Eisner M; Poni~zynski A PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Pol SOURCE: Pol Przegl Chir 1973 May;45(5):649-52 25 NLM CIT. ID: 73187988 TITLE: Aneurysm of the sinus of Valsalva resulting from bacterial endocarditis. AUTHOR: Holmes EC; Brawley RK; Bredenberg CE PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Ann Thorac Surg 1973 Jun;15(6):628-31 26 NLM CIT. ID: 73160084 TITLE: Aortic regurgitation and aneurysm of sinus of Valsalva associated with osteogenesis imperfecta. AUTHOR: Heppner RL; Warbasse JR; Bianchine JW; Babitt HI PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am J Cardiol 1973 May;31(5):654-7 27 NLM CIT. ID: 73055852 TITLE: [Ventricular septal defects with unusual intracardiac abnormalities--aneurysm of the sinus of Valsalva, aortic valvular insufficiency and postoperative aorto-right ventricular fistula] AUTHOR: Shotsu A; Ishikura Y; Inoue T; Soma Y; Takeuchi S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1972 Jul;25(7):465-75 28 NLM CIT. ID: 72213641 TITLE: [Rupture of an aneurysm of the Valsalva sinus by a bacterial graft inaugurated by an atrio-ventricular block (1 case)] AUTHOR: Jallut H; Cassagnes J; Chomette G; Slama R; Acar J Alix B PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Fre SOURCE: Nouv Presse Med 1972 May 20;1(21):1421-4 29 NLM CIT. ID: 71235245 TITLE: [Aneurysm of the sinus of Valsalva spreading into the interventricular septum] AUTHOR: Soulie P; Heulin A; Soulie J; Caramanian M; Daumet P PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Fre SOURCE: Arch Mal Coeur Vaiss 1969 May;62(5):597-616 30 NLM CIT. ID: 68404772 TITLE: [Congenital aneurysm of the sinus of Valsalva. 1. Its history and definition] AUTHOR: Sakakibara S; Konno S PUBLICATION TYPES: HISTORICAL ARTICLE JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1968 Jan;21(1):26-31 31 NLM CIT. ID: 71160190 TITLE: Ruptured aneurysm of the sinus of Valsalva and ventricular septal defect associated with aortic regurgitation. AUTHOR: Hasegawa T; Furuse A; Tsuzuki M; Sato F; Mizuno A PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Jpn Heart J 1971 Mar;12(2):111-22 32 NLM CIT. ID: 68094238 TITLE: Surgical treatment of the ruptured aneurysm of the aortic sinus of Valsalva. AUTHOR: Asano K; Matsuzawa H; Eguchi S; Shiozaki K; Washio M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Jpn Heart J 1967 Sep;8(5):487-97 33 NLM CIT. ID: 70258006 TITLE: Ruptured aneurysm of the aortic sinus of Valsalva into the right side of the heart; three cases diagnosed during life and treated surgically. AUTHOR: Lien WP; Hung CR; Shann KM; Tsai HC; Chen CM PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Taiwan I Hsueh Hui Tsa Chih 1970 Feb 28;69(2):105-17 34 NLM CIT. ID: 67045784 TITLE: Ruptured aneurysm of the sinus of valsalva. Report based on 6 operated cases. AUTHOR: Perasalo O; Heikkila KJ; Kyllonen KE; Halonen PI PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Acta Chir Scand Suppl 1966;356B:55-64 35 NLM CIT. ID: 66106217 TITLE: [Ruptured sinus of Valsalva aneurysm. Case report, with review of surgical treatment] AUTHOR: Hsu KY; Lin TY; Chen CC; Wu KH; Hsieh JM PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Taiwan I Hsueh Hui Tsa Chih 1965 Aug 28;64(8):549-59 36 NLM CIT. ID: 72035759 TITLE: Aneurysm of the aortic sinus of Valsalva communicating with a fistulous cavity in the interventricular septum: report of a case. AUTHOR: Nakazawa H; Wilens S; Beier LS PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Hum Pathol 1971 Sep;2(3):459-62 37 NLM CIT. ID: 71110673 TITLE: [Rupture of Valsalva's sinus aneurysm] AUTHOR: Arai T PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1971 Feb;24(2):94-9 38 NLM CIT. ID: 71179925 TITLE: Infected aneurysm of sinus of Valsalva. Report of a case with involvement of all three sinuses. AUTHOR: Datta BN; Khattri HN; Berry JN PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Br Heart J 1971 Mar;33(2):323-5 39 NLM CIT. ID: 71179161 TITLE: Ruptured sinus of Valsalva aneurysm after lung resection. AUTHOR: Houghton GR; Braimbridge MV; Harrison GK PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Br J Surg 1971 Apr;58(4):309-12 40 NLM CIT. ID: 71166554 TITLE: Ruptured aneurysm of sinus of Valsalva. A report of six cases. AUTHOR: Kochaseni SE; Chareonchob N; Wongthongsri W Haraphongse M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: J Med Assoc Thai 1971 Mar;54(3):203-12 41 NLM CIT. ID: 71114108 TITLE: [Rupture of Valsalva sinus aneurysm] AUTHOR: Cherrier F PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Fre SOURCE: Ann Cardiol Angeiol (Paris) 1970 Oct-Dec;19(4):337-41 42 NLM CIT. ID: 71109892 TITLE: Ruptured aneurysm of the sinus of Valsalva. AUTHOR: Wright JS PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Q J Med 1970 Oct;39(156):493-513 43 NLM CIT. ID: 71076386 TITLE: [Intravital diagnosis of rupture of an aneurysm of Valsalva's sinus] AUTHOR: Danovich BZ PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Rus SOURCE: Kardiologiia 1970 Jul;10(7):130-5 44 NLM CIT. ID: 71042423 TITLE: Traumatic hemolysis with rupture of aneurysm of sinus of Valsalva. AUTHOR: Ellman L; Knox-Macauley H PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Arch Intern Med 1970 Dec;126(6):1019-21 45 NLM CIT. ID: 70059380 TITLE: [Case of ruptured aneurysm of the Valsalva's sinus after the diagnosis of ventricular septal defect] AUTHOR: Takagi T; Kawai Y; Kozeki Y; Kanezaki K; Taniguchi K PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Naika 1969 Nov;24(5):974-80 46 NLM CIT. ID: 70079361 TITLE: [Ruptured aneurysm of the right sinus of Valsalva] AUTHOR: Musial W; Zaslonka J; Iljin W; Moll J; Kolczycka Z PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Pol SOURCE: Kardiol Pol 1969;12(4):343-8 47 NLM CIT. ID: 70054819 TITLE: [Clinical evaluation and surgical management of unruptured cases of Valsalva's sinus aneurysm] AUTHOR: Horiuchi T; Abe T; Ishidoya T; Oyamada K; Riko S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Shujutsu 1969 Oct;23(10):1297-306 48 NLM CIT. ID: 70034058 TITLE: [A case of ruptured aneurysm of the right Valsalva sinus] AUTHOR: Luczak J; Szelagowicz B; Breborowicz J PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Pol SOURCE: Pol Tyg Lek 1969 Aug 11;24(32):1244-5 49 NLM CIT. ID: 70032468 TITLE: Aneurysm of the aortic sinus of Valsalva. A case of rupture and myocardial infarction. AUTHOR: Olsen J PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Acta Pathol Microbiol Scand 1969;76(1):12-8 50 NLM CIT. ID: 69195087 TITLE: [New method of closing ruptured aneurysm of the sinus of Valsalva] AUTHOR: Wada J; Tanaka N PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1969 Feb;22(2):135-8 51 NLM CIT. ID: 69233037 TITLE: [Rupture of congenital aneurysm of the Valsalva sinus in an infant] AUTHOR: Toszegi A; Kertesz E; Pinter G PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Hun SOURCE: Orv Hetil 1969 May 25;110(21):1206-8 52 NLM CIT. ID: 69206989 TITLE: Congenital aneurysm of the pulmonary sinus of Valsalva. AUTHOR: Page DL; Williams GM PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Circulation 1969 Jun;39(6):841-7 53 NLM CIT. ID: 69130676 TITLE: Surgical correction of aneurysm of the sinus of Valsalva. A report of forty-five consecutive patients including eight with total replacement of the aortic valve. AUTHOR: Taguchi K; Uemura R; Matsuura Y; Sasaki N PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am J Cardiol 1969 Feb;23(2):180-91 54 NLM CIT. ID: 69081207 TITLE: [Congenital aneurysm of the sinus of Valsalva. 7. Type II, III and IV] AUTHOR: Konno S; Sakakibara S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1968 Jul;21(7):485-9 55 NLM CIT. ID: 69064024 TITLE: [Congenital aneurysm of the Valsalva's sinus. 6. I type and IVSD type] AUTHOR: Konno S; Sakakibara S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1968 Jun;21(6):401-8 56 NLM CIT. ID: 69057176 TITLE: [Congenital aneurysm of the sinus of Valsalva. 5. Its relationship to VSD] AUTHOR: Konno S; Sakakibara S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1968 May;21(5):345-51 57 NLM CIT. ID: 69113109 TITLE: [Ruptured aneurysm of Valsalva's sinus with aortic insufficiency. Correction by aortic valve homograft] AUTHOR: Fontan F; Dubourg G; Raulin Y; Mounicot F; Galy JC PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Fre SOURCE: Ann Chir Thorac Cardiovasc 1968 Oct;7(4):501-3 58 NLM CIT. ID: 68412295 TITLE: [Congenital aneurysm of the sinus of Valsalva. 2. Anatomy of the sinus of Valsalva] AUTHOR: Sakakibara S; Konno K PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1968 Feb;21(2):98-102 59 NLM CIT. ID: 68310433 TITLE: Rupture of aneurysm of sinus of valsalva. AUTHOR: Saheta NP PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Indian Heart J 1968 Jan;20(1):83-95 60 NLM CIT. ID: 68310432 TITLE: Dissecting aneurysm of the sinus of valsalva. AUTHOR: Reddy CR; Reddy VC PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Indian Heart J 1968 Jan;20(1):76-82 61 NLM CIT. ID: 68197832 TITLE: Congenital aneurysm of the sinus of Valsalva associated with ventricular septal defect. Anatomical aspects. AUTHOR: Sakakibara S; Konno S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am Heart J 1968 May;75(5):595-603 62 NLM CIT. ID: 68404764 TITLE: [Case of ruptured aneurysm of the aortic sinus of Valsalva] AUTHOR: Iwamatsu M; Kikegawa Y; Kawamura T; Hoshino T PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1967 Dec;20(12):838-42 63 NLM CIT. ID: 68199722 TITLE: [Surgery of ruptured aneurysm of the Valsalva's sinus with ventricular septal defect] AUTHOR: Masaki H; Morokuma R; Nobukuni K; Nishimura N Oishi K PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1967 Aug;20(8):574-8 64 NLM CIT. ID: 68199715 TITLE: [Surgical treatment of rupture of a congenital aneurysm of Valsalva's sinus] AUTHOR: Asano K; Matsuzawa H; Eguchi S; Shiozaki K; Washio M PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1967 Aug;20(8):520-31 65 NLM CIT. ID: 68120412 TITLE: [Congenital aneurysm of Valsalva's sinus] AUTHOR: Inoue T; Nozawa T; Takizawa H; Oda Y; Shotsu A PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1967 Jun;20(6):370-9 66 NLM CIT. ID: 70227036 TITLE: [Congenital aneurysm of Valsalva's sinus in a newborn infant with trisomy 13-15] AUTHOR: Zanesco L; Tenconi R PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ita SOURCE: Riv Anat Patol Oncol 1967 Sep-Oct;32(3):192-200 67 NLM CIT. ID: 69107280 TITLE: [Congenital aneurysm of Valsalva's sinus in the Klippel-Feil syndrome] AUTHOR: Nenci I; Malaguti R PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ita SOURCE: Riv Patol Clin Sper 1967 Oct-Dec;8(4):493-517 68 NLM CIT. ID: 68360247 TITLE: [Rupture of an aneurysm of the sinus of Valsalva] AUTHOR: Sellyei M; Husveti S PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Hun SOURCE: Orv Hetil 1967 Oct 22;108(43):2038-9 69 NLM CIT. ID: 67083466 TITLE: Rupture of an aneurysm of the sinus of valsalva into the right atrium. Observations using a catheter-tip micromanometer-microphone. AUTHOR: Minkoff SM; Sharp JT; Fort ML PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Am J Cardiol 1967 Feb;19(2):278-84 70 NLM CIT. ID: 67094764 TITLE: A case of atrio-ventricular communication syndrome complicated with ruptured aneurysm of Valsalva sinus and subacute bacterial endocarditis. AUTHOR: Takezawa H; Moriki T; Onishi M; Matsuda Y; Ikeda N PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng SOURCE: Jpn Circ J 1966 Sep;30(9):1179-84 71 NLM CIT. ID: 67245881 TITLE: [Case of therapy of ruptured aneurysm of the Valsalva's sinus] AUTHOR: Kobayashi K; Kato Y; Kuroda R; Inoue R; Yamamoto H PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Jpn SOURCE: Kyobu Geka 1966 Nov;19(12):881-4 72 NLM CIT. ID: 66124615 TITLE: [Aneurysm of Valsalva's sinus. (Report of a case)] AUTHOR: Suarez J; De Suarez C PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Spa SOURCE: Gac Med Caracas 1965 Jul-Sep;73(7):317-34 73 NLM CIT. ID: 66036632 TITLE: [Rupture of the aneurysm of Valsalva's sinus. Clinical diagnosis and surgical correction. Presentation of a case] AUTHOR: Donatelli R; Colombi M; Colombi P PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Ita SOURCE: Osp Ital Chir 1965 May-Jun;12(5):603-14
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