Aneurysms of the Sinuses of Valsalva

Feldman, Dmitriy N.; Roman, Mary J.

doi:10.1159/000092635

Cited by 223 publications

(298 citation statements)

References 123 publications

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“…SVAs are encountered in congenital and acquired disorders. Acquired aneurysms are caused by conditions affecting the aortic wall, such as infections, trauma, or connective tissue disorders (2). To the best of our knowledge, Valsalva aneurysms including all sinuses in patients with ankylosing spondilitis are not reported in the literature, which is why we felt that the present case was worthy of sharing.…”

mentioning

confidence: 77%

Sinus Valsalva Aneurysms in a Patient with Ankylosing Spondilitis

et al. 2012

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mentioning

confidence: 77%

Sinus Valsalva Aneurysms in a Patient with Ankylosing Spondilitis

et al. 2012

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“…The clinical manifestations of sinus of valsalva aneurysms vary widely. Patient tends to present with aneurysm rupture or symptoms due to the mass effect [3].…”

Section: Discussionmentioning

confidence: 99%

“…Commonly the non ruptured aneurysms are discovered as an incidental finding from an echocardiography while evaluating murmurs or from abnormal cardiac contours on radiological imaging [3]. Aortic valve regurgitation is frequently associated with sinus of Valsalva aneurysms and can have a prevalence rate of up to 44% [4].…”

Section: Discussionmentioning

confidence: 99%

Unruptured Noncoronary Sinus of Valsalva Aneurysm Associated with Atrial Septal Defect (ASD)

Mittal

Dadhania

Dey³

et al. 2015

JCDR

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“…It is a rare condition which is usually congenital. 1 Congenital SOVAs are usually due to the separation of the aortic media from the annulus fibrosis and a subsequent dilatation at that sinus. The elastic media is often deficient in the wall of these patients' aortas, this is thought to play a role in the pathogenesis of congenital SOVA.…”

Section: Discussionmentioning

confidence: 99%

An unusual and life-threatening cause of epigastric pain presenting to the general surgical team: a case report

Sharkey

Cooper

2010

annals

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Ann R Coll Surg Engl 2010; 92:1 The referral of patients to the emergency general surgeons with epigastric pain occurs on an almost daily basis. There are many common pathologies which can cause this symptom, most of which originate in the gastrointestinal tract. However, there are also extragastrointestinal conditions which can manifest as epigastric pain, several of which are cardiac. In any patient presenting with this symptom, it is vital to rule out an acute cardiac event such as a myocardial infarction or aneurysm rupture. We present the case of a ruptured sinus of Valsalva aneurysm presenting as a 4-day history of epigastric pain. Case historyA 59-year-old woman, with no previous medical history of note, presented to the accident and emergency department with a 4-day history of worsening epigastric pain and feeling generally unwell. Four days previously she had 'fainted' twice but had not sought medical attention. On admission, she was hypotensive and tachycardic. Examination findings were tenderness in the right upper quadrant and epigastrium but no peritonism, and a possibility of muffled heart sounds although the attending doctor was unsure. Her arterial blood gases showed a metabolic acidosis with a lactate level of 2.6 mmol/l. She was referred to the general surgeons at this point.After initial resuscitation, she underwent a computed tomography (CT) thorax and abdomen. CT thorax showed a 2.5 cm pericardial effusion. She was seen by a cardiologist who found distended neck veins and mixed murmurs at the apex. He performed an echocardiogram which confirmed the presence of a pericardial effusion and that it was causing right atrial and ventricular collapse, an indication for drainage. Pericardiocentesis was performed by the consultant cardiologist and she was transferred to the coronary care unit.A repeat transthoracic echocardiogram showed a 4-cm sinus of Valsalva aneurysm anteriorly with moderate aortic regurgitation. There was no flow into the pericardial space at this time. It was felt that the aneurysm had ruptured into the pericardial space but had tamponaded. She underwent a repair of this aneurysm the following day. Operative findings Northern General Hospital, Sheffield, UK ABSTRACT As general surgeons, we are regularly referred patients with epigastric pain. There are a huge number of common pathologies which cause this complaint, most of which are gastrointestinal in origin. Although the old adage goes 'common things are common', we must always keep our minds open to the possibility of the uncommon and not miss warning signs which are present in the history or examination. We present the case of a 59-year-old woman with a ruptured sinus of Valsalva aneurysm presenting to the accident and emergency department as epigastric pain. ON-LINE CASE REPORT

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Aneurysms of the Sinuses of Valsalva

Cited by 223 publications

References 123 publications

Sinus Valsalva Aneurysms in a Patient with Ankylosing Spondilitis

Sinus Valsalva Aneurysms in a Patient with Ankylosing Spondilitis

Unruptured Noncoronary Sinus of Valsalva Aneurysm Associated with Atrial Septal Defect (ASD)

An unusual and life-threatening cause of epigastric pain presenting to the general surgical team: a case report

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