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A PICTURE IS WORTH A THOUSAND WORDS
Year : 2015  |  Volume : 16  |  Issue : 3  |  Page : 114-115  

Right sinus of valsalva aneurysm with rupture into the interventricular septum and into the left ventricle


Department of Cardiology, Principal Military Hospital/Superior Institute, Luanda, República de Angola

Date of Web Publication4-Sep-2015

Correspondence Address:
Dr. Humberto Morais
Rua Pedro Miranda 40-42, Maianga, Luanda
República de Angola
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1995-705X.164469

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How to cite this article:
Morais H, Martins T. Right sinus of valsalva aneurysm with rupture into the interventricular septum and into the left ventricle. Heart Views 2015;16:114-5

How to cite this URL:
Morais H, Martins T. Right sinus of valsalva aneurysm with rupture into the interventricular septum and into the left ventricle. Heart Views [serial online] 2015 [cited 2018 Aug 15];16:114-5. Available from: http://www.heartviews.org/text.asp?2015/16/3/114/164469

A 16-year-old black boy presented with complaints of shortness of breath, dyspnea at rest during the last month. Examination revealed a wide pulse pressure and a continuous murmur across the precordium. The transesophageal echocardiogram showed a ruptured aneurysm of the right sinus of valsalva. The sinus rupture dissected into the interventricular septum [Figure 1], [blue arrow] and then into the left ventricular cavity [Figure 2], [white arrow]. The patient underwent surgical correction of the defect successfully.
Figure 1: Transesophageal echocardiography showing rupture of the right sinus of valsalva into the interventricular septum

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Figure 2: Transesophageal echocardiography showing rupture of right sinus of valsalva into the intenventricular septum and into the left ventricle

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Aneurysm of the sinus of valsalva account for only 1% of congenital cardiac anomalies. Of this aneurysm, 70% arise from the right sinus of valsalva. Most of the remainder arises from the noncoronary sinus and <5% from the left coronary sinus. Unlike others populations, in Africa, the rupture into the interventricular septum is the most frequent complication of these aneurysms,[1] followed by rupture into the right chambers. However, the simultaneous rupture of sinus of valsalva aneurysm into the interventricular septum and the left ventricle is an extremely rare heart condition.

 
   References Top

1.
Morais H, Cáceres-Lóriga FM, Martins T, Vanduném G, Cunha R. Unruptured congenital aneurysm of the sinus of valsalva in an African population: A six-year experience at an echocardiography laboratory. Cardiovasc J Afr 2009;20:192-5.  Back to cited text no. 1
    


    Figures

  [Figure 1], [Figure 2]


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