Ruptured sinus of Valsalva aneurysm in adult age; percutaneous closure with occluder device. Report of three successful cases. Ruptura de aneurisma del seno. Ruptura espontánea de un aneurisma del seno de Valsalva a la aurícula derecha en una paciente con aneurisma del septum interatrial. Pedro López– Velarde. Los aneurismas del seno de Valsalva (ASV) son defectos raros que representan el % de todas las cardiopatías congénitas. Son más.

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The electrocardiogram showed left ventricular enlargement Figure 2.

Aneurisma del seno de Valsalva disecando hacia el septo interventricular en una paciente embarazada

The epithelization of the implanted device can render more resistant the surrounding tissue. Resection of the aneurysm’s coat was made and replaced with a 1. However, that eventuality has not happened in none of our patients, after three year of follow-up. You can change the settings or obtain more aneurisms by clicking here. Other associated abnormalities less frequently found are pulmonary stenosis, patent ductus arteriosus, atrial septal defect, subaortic stenosis, and Fallot’s Tetralogy. Am J Med, 65pp.

Dell are numerous complications that can originate from a Valsalva aneurysm, including obstruction of the right ventricular outflow tract, infectious endocarditis, and thrombus formation, with systemic or local embolic events.

Aneurysmal dilatation of the sinus of Valsalva is a rare structural cardiac abnormality in children. Echocardiogram showed ruptured right VSA of 10 mm into the right ventricle, with color mosaic and turbulence at this level.


Transcatheter occlusion of ruptured sinus of Valsalva aneurysm: Echocardiographic diagnosis was confirmed by cardiac catheterization and angiotomography.

Inthe first description of VSA was made by Thurman in a necropsy. All patients clinically manifested heart failure and continuous murmur. Among the main complications of VSA are described aortic insufficiency, coronary artery compromise, diverse arrhythmias, rupture and endocarditis. The boy suddenly developed acute prechordal pain, symptoms of low heart output and systolic-diastolic murmur.

In the early postoperative period, the patient developed variable degrees of atrioventricular block, and a definite VVI pacemaker was implanted. In order of frequency, valsalvva right origin VSA opens to the right ventricle and right atrium, pericardium, pleura and left chambers and very seldom towards the interventricular septum, pulmonary artery or superior vena cava.

Am J Cardiol ; Los tres pacientes tuvieron insuficiencia cardiaca y soplo continuo. Unruptured sinus of Valsalva aneurysm with right ventricular outflow tract obstruction associated with ventricular septal defect. Arch Pathol Lab Med ; Aneurysms are most frequently localized at the right sinus of Valsalva Transcatheter closure of a ruptured aneurysm of the sinus of Valsalva.

VSA can be associated to trunco-conal defects like ventricular septal defects, aortic insufficiency, pulmonary aneirisma or subaortic stenosis. Ruptured sinus of Valsalva aneurysm in adult age; percutaneous closure with occluder device.

X-ray chest film showed mild cardiomegaly Figure 1 and normal electrocardiogram. The rift is usually associated to a strenuous exercise, infection or trauma. Clinically, there is a continuous murmur in the left parasternal area and the examination reveals signs of aortic valve insufficiency. It may be clinically silent for many years but these defects frequently coexist with other cardiac malformations, causing, when rupture occurs, unexpected symptoms that are not explained by the original defects.


Infrequently, the rupture causes myocardial ischemia when the left VSA is involved, due to compression of the circumflex artery. There are not many cases like these reported in literature.

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One year ago to his admission he began to have progressive dyspnea and lower limbs edema. Ann Thorac Surg, 65pp.

J Thorac Cardiovasc Surg ; They are more common in Asia and India, and affect more males than females in a 3: We conclude that is extremely important to have a degree high suspicion of this entity in previously asymptomatic children, with or without cardiac anomalies, who suddenly present this kind of heart failure and abrupt changes in cardiac auscultation. For now, percutaneous intervention is a feasible and safe intervention for selected cases.

Aneurysms of the sinus of Valsalva SV and the atrial septum are a rare association. Sometimes patients experience chest pain. Replacement of the valve was not considered necessary in the absence of aortic valve dysfunction.