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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