학술논문
Rupture of Sinus of Valsalva Aneurysm With Aorto-Biventricular Fistulas and Right-Ventricular Outflow Tract Obstruction: A Unique Association
Case Report
Case Report
Document Type
Academic Journal
Author
Source
Pediatric Cardiology. December 2013, Vol. 34 Issue 8, p2034, 3 p.
Subject
Language
English
ISSN
0172-0643
Abstract
Author(s): Samer I. Masri [sup.1], Fadi F. Bitar [sup.1], Mariam T. Arabi [sup.1], Marianne N. Majdalani [sup.2], Mounir Y. Obeid [sup.1] [sup.3], Zohair Y. Al Halees [sup.1] [sup.3] [sup.4], Karim [...]
Sinus of Valsalva aneurysms are a rare entity. Rupture of such aneurysms is a major cause of aortocardiac fistulas usually occurring between the right sinus of Valsalva and right cardiac chambers. We report an exceptional case of a ruptured congenital sinus of Valsalva aneurysm with fistulas involving both the right- and left-ventricular outflow tracts and causing RVOT obstruction. We also demonstrate the utility of computed tomography angiography and transesophageal echocardiography in diagnosing these fistulas.
Sinus of Valsalva aneurysms are a rare entity. Rupture of such aneurysms is a major cause of aortocardiac fistulas usually occurring between the right sinus of Valsalva and right cardiac chambers. We report an exceptional case of a ruptured congenital sinus of Valsalva aneurysm with fistulas involving both the right- and left-ventricular outflow tracts and causing RVOT obstruction. We also demonstrate the utility of computed tomography angiography and transesophageal echocardiography in diagnosing these fistulas.