Echocardiographic diagnosis of sinus of Valsalva aneurysm: A 17-year (1995–2012) experience of 212 surgically treated patients from one single medical center in China

Cheng, Tsung O.; Yang, Yali; Xie, Mingxing; Wang, Xinfang; Dong, Nianguo; Su, Wei; Lü, Qing; He, Lin; Lu, Xingrong; Wang, Jing; Li, Ling; Li, Yuan

doi:10.1016/j.ijcard.2014.02.003

Cited by 50 publications

(60 citation statements)

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“…Echocardiography is currently the diagnostic modality of choice for the evaluation of SVAs [3]. However, articles describing the role of ultrasound in diagnosing the rare pathological patterns are mostly case reports, and details surrounding the use of ultrasound are seldom provided.…”

Section: Introductionmentioning

confidence: 99%

Echocardiographic diagnosis of rare pathological patterns of sinus of Valsalva aneurysm

et al. 2017

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ObjectiveTo evaluate the value and improve the diagnostic accuracy of echocardiography in the diagnosis of a sinus of Valsalva aneurysm (SVA) with rare pathological patterns.MethodsEchocardiographic features and surgical findings from 270 Chinese patients with SVA treated in the last 18 years (1995–2013) at the Union Hospital were compared retrospectively; 22 of 270 cases had rare patterns.ResultsThe patients with SVA, a rare origin, a rare extending position, or a rare course accounted for 3.4%, 7.4%, and 0.4% of the 270 cases, respectively. The three most common aneurysmal complications of the patients with rare patterns were severe aortic regurgitation (16), obstruction of the ventricular outflow tract or valvular orifice (3), and conduction disturbance (3). The origin, course, extending position and rupture status of the SVAs determined by echocardiography were entirely consistent with surgical findings in 81.8% of the 22 cases. With the exception of one failed diagnosis of an aneurysmal wall dissection and one misdiagnosis of a descending aortic dissection, the echocardiographic results of SVA complications and associated cardiovascular lesions were also confirmed.ConclusionWe could accurately diagnose SVAs with rare pathological patterns by echocardiographic identification of distinguishing features. However, for several conditions, we could not accurately identify the origin or course of the aneurysm or define its relationship to adjacent structures using conventional echocardiography alone. Therefore, we recommend combining conventional echocardiography with different imaging techniques, such as transesophageal echocardiography, three-dimensional echocardiography, computed tomography angiography, and aortic angiography.

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Section: Introductionmentioning

confidence: 99%

Echocardiographic diagnosis of rare pathological patterns of sinus of Valsalva aneurysm

et al. 2017

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“…Our case is certainly a spontaneous rupture. TTE is a key investigation for diagnosis of the rupture; it can detect the associated lesions [13]. It has been very helpful for diagnosing ruptured and intact aneurysm and has also proved to be a great guidance tool for intra operative repair.…”

Section: Discussionmentioning

confidence: 99%

Rupture of Aneurysm of Sinus of Valsalva into the Right Ventricle: Report of One Case

Fatou¹,

Abdallahi²,

Antoine³

et al. 2017

ASS

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“…The most common sinus to rupture is right coronary or noncoronary sinuses with the right ventricle being the most common site of rupture ( Fig. 7), followed by the right atrium (26,27).…”

Section: Ruptured Sov Aneurysmsmentioning

confidence: 99%

“…Other less common sites of rupture in descending order include right ventricular outflow tract, left ventricle, the interventricular septum, left atrium, and extracardiac space (26). Rupture into the extracardiac space although rare has generally higher mortality with critical complications of cardiac tamponade (14).…”

Section: Ruptured Sov Aneurysmsmentioning

confidence: 99%

“…Contrast-enhanced ECG-gated multidetector cardiac CT angiogram due to its inherent high spatial resolution, improved temporal resolution, wider availability, and rapid scan acquisition is very well suited and commonly used noninvasive modality for evaluation of SOV aneurysms (Fig. 11), cardiac chambers (4,33) and its relations with the coronary arteries (26,34).…”

Section: Multimodality Imaging Of Sov Aneurysmsmentioning

confidence: 99%

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Cross-sectional imaging of sinus of Valsalva aneurysms: lessons learned

Hanna

Malguria

Saboo

et al. 2017

Diagn Interv Radiol

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Echocardiographic diagnosis of sinus of Valsalva aneurysm: A 17-year (1995–2012) experience of 212 surgically treated patients from one single medical center in China

Cited by 50 publications

References 20 publications

Echocardiographic diagnosis of rare pathological patterns of sinus of Valsalva aneurysm

Echocardiographic diagnosis of rare pathological patterns of sinus of Valsalva aneurysm

Rupture of Aneurysm of Sinus of Valsalva into the Right Ventricle: Report of One Case

Cross-sectional imaging of sinus of Valsalva aneurysms: lessons learned

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