Ecocardiografía transesofágica multiplana en la valoración preoperatoria de fístulas de senos de Valsalva en cavidades derechas

Martin, Anastasia; Oliver, José M.; González, Ana; García, Julián; Benito, Fernando; Daza, José A. Sobrino

doi:10.1016/s0300-8932(02)76550-0

Cited by 10 publications

(4 citation statements)

References 35 publications

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“…Also, TEE may provide further information to differentiate SVA from the more common aneurysm of a VSD or coronary arteriovenous fistula. TEE is invaluable in differentiating between isolated perforation of a SVA and perforation of an aneurysm in association with a VSD[ 72]. TEE has been shown to be more useful in assessing associated congenital lesions, but is not superior to transthoracic echocardiography or aortography in assessing the degree of aortic insufficiency or left-to-right shunting[ 73].…”

Section: Diagnosismentioning

confidence: 99%

Aneurysms of the Sinuses of Valsalva

2006

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Sinus of Valsalva aneurysms are rare cardiac anomalies which may be acquired or congenital, most commonly involving the right or noncoronary sinuses. The congenital aneurysms are more common and often caused by weakness at the junction of the aortic media and the annulus fibrosus. Acquired aneurysms are caused by conditions affecting the aortic wall, such as infections (syphilis, bacterial endocarditis, or tuberculosis), trauma, or connective tissue disorders. Unruptured aneurysms are usually found incidentally during diagnostic studies. More commonly, sinus of Valsalvaaneurysms are diagnosed after clinical sequelae of rupture. Diagnosis of sinus of Valsalva aneurysm is facilitated by echocardiography, contrast aortography, and more recently, magnetic resonance imaging. Repair is generally required for ruptured aneurysms; unruptured aneurysms encroaching on nearby structures, causing myocardial ischemia, or having the potential to rupture warrant repair. A review of the literature is presented focusing on anatomy, clinical presentation of ruptured and unruptured aneurysms, noninvasive diagnostic modalities, and techniques for repair of this anomaly.

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Section: Diagnosismentioning

confidence: 99%

Aneurysms of the Sinuses of Valsalva

2006

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“…una arteria coronaria. 11 En cuanto al diagnostico por imágenes, la angiografía se consideraba el estándar de oro para el diagnóstico, sin embargo, técnicas menos invasivas como el ecocardiograma transtorácico y transesofágico son las más utilizadas actualmente 12 con una certeza diagnostica de 75% y 90% respectivamente para aneurismas rotos y no rotos 4 , permitiendo además una localización más precisa del seno patológico, del lugar de entrada de la fístula a las cavidades, en la identificación de otras alteraciones cardíacas, en la delimitación del tamaño y morfología de los aneurismas congénitos así́ como en la identificación del prolapso de aneurismas a través de una comunicación interventricular 12 . La tomografía computarizada ofrece una evaluación excelente de la anatomía extracardíaca.…”

Section: Discussionunclassified

Aneurisma de seno de valsalva fistulizado a auricula derecha

et al. 2022

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Fístula of Sinus of Valsalva aneurysm to the right atriumAneurysms of the sinus of Valsalva are. They occur at any age, either as a congenital or an acquired malformation. They may rupture and form a fístula to other cardiac structures, with a high mortality rate. The clinical case of a 49 year-old patient with a ruptured sinus of Valsalva an a fístula to the right atrium is presented. A brief review of the subject is included.

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“…Although TEE exam for suspected RSOV finds no mention in the latest 2010 published American Society of Anesthesiologists guidelines for TEE, there is enough scientific literature available that emphasizes impact of perioperative multiplane, color Doppler TEE over TTE and angiography in improving surgical, anesthetic, and intensive care management of patients suspected of RSOVA. [ 2 3 6 7 8 ] Garrido Martín et al . even concluded that TEE is the most accurate tool in the preoperative evaluation of RSOVA to right chambers.…”

Section: Discussionmentioning

confidence: 99%

“…even concluded that TEE is the most accurate tool in the preoperative evaluation of RSOVA to right chambers. [ 8 ] Furthermore, with real-time imaging at high temporal and spatial resolution, 3D advancements of TEE allow delineation of precise cardiac anatomy which leaves no room for error and has been reported to provide both diagnostic and procedure advantages in interventional cases. [ 1 9 ]…”

Section: Discussionmentioning

confidence: 99%