- By keymay
- 0 comments
Sinus of Valsalva Rupture or VSD Shunt: Mystery Solved by Cardiac CT
Sinus of Valsalva (SoV) aneurysms are extremely rare cardiac anomalies that may be acquired or congenital. The congenital aneurysm is more common and is most often caused by weakness at the juncture of the aortic media and the annulus fibrosus.[1] Aneurysms may originate in the right coronary sinus (65–85%), the noncoronary sinus (10–30%), and rarely the left coronary sinus (1–5%).[2] Although aneurysms usually remain asymptomatic, rupture can complicate the pathophysiology very rapidly. Ruptured SoV aneurysms are frequently associated with perimembranous ventricular septal defects (VSDs).[3] We report herein a patient with an unruptured right SoV with subpulmonic location of small VSD with curved jet around aneurysm.
Case Report
A 12-year-old boy with body mass index 20.6 kg/m2 was presented to the outpatient department with symptoms of fatigue, substernal chest pressure, palpitations, and near syncope episodes three times on different days for the past 2 months. He had a history of cardiac murmur since birth and was diagnosed at that time with a small VSD by transthoracic echocardiography (TTE) with no further clinical follow-up.
An electrocardiogram showed sinus tachycardia at a rate of 110 bpm and met the voltage criteria for incomplete right bundle branch block. Chest radiography revealed a normal cardiac silhouette with mild congestion of the pulmonary vasculature.
For more detail refer publication: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0041-1735924
Author: Keyur Vora , Uday Surana, Alok Ranjan
https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0041-1735924