J Cardiovasc Ultrasound.  2016 Mar;24(1):84-86. 10.4250/jcu.2016.24.1.84.

Rupture of Right Sinus of Valsalva Aneurysm into Right Cardiac Chambers: The Role of Different Imaging Modalities

• Morais H
• Sousa-Uva
• Martins T
• Manuel V
• Costa JC

• KMID: 2161003
• DOI: http://doi.org/10.4250/jcu.2016.24.1.84

Abstract

No abstract available.

Keyword

Echocardiography; Real time three-dimensional echocardiography; Sinus of Valsalva aneurysm

MeSH Terms

Aneurysm*
Echocardiography
Rupture*
Sinus of Valsalva*

Figure

• 

  Fig. 1 A: Transthoracic echocardiography, parasternal short axis view at level of great vessels, revealed rupture of right sinus of Valsalva into the right atrium (asterisk). B, C, and D: Transesophageal echocardiography and color Doppler study confirming the diagnosis (asterisk).

• 

  Fig. 2 A: Real time 3D transesophageal echocardiography, in zoom mode, showing rupture of right sinus of Valsalva into the right atrium (blue arrow). B: Computed multidetector tomography showing communication between the right sinus of Valsalva and right cardiac chambers (blue circle). C and D: Surgical findings confirming the shunt between the right sinus of Valsalva and right cardiac chambers (blue arrow) and showing that the fistula was closed.

Reference

1. Kim HR, Kim SJ, Lim KH, Kim JM, Lee JH, Kim YG, Jung JP, Lee SG. A case of perimembranous ventricular septal defect associated with sinus of Valsalva aneurysm mimicking membranous septal aneurysm. J Cardiovasc Ultrasound. 2015; 23:113–117.

2. 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; 20:192–195.

3. Rothbaum DA, Dillon JC, Chang S, Feigenbaum H. Echocardiographic manifestation of right sinus of Valsalva aneurysm. Circulation. 1974; 49:768–771.

4. Noji Y, Hifumi S, Nagayoshi T, Nagasawa S, Kasuga T, Miwa K, Kobayashi T, Mabuchi H. Sixteen-slice computed tomography, transthoracic real-time 3-dimensional echocardiography and magnetic resonance imaging assessment of a long-term survivor of rupture of sinus of valsalva aneurysm. Intern Med. 2005; 44:513–515.

5. Bricker AO, Avutu B, Mohammed TL, Williamson EE, Syed IS, Julsrud PR, Schoenhagen P, Kirsch J. Valsalva sinus aneurysms: findings at CT and MR imaging. Radiographics. 2010; 30:99–110.