Multiple unruptured aortic sinus of Valsalva aneurysms: A rare presentation

Chigurupati, Keerthi; Kumaresan, Balaji; Gadhinglajkar, Shrinivas; Sreedhar, Rupa

doi:10.1111/echo.13423

Cited by 7 publications

(7 citation statements)

References 3 publications

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“…Real-time 3D TEE imaging also plays an important role in guiding transcatheter repair of SVAs and assessment of adequacy of the surgical repair. 12 Data on tomographic assessment using imaging modalities such as MDCT and CMR for the diagnosis of SVAs are limited. Undoubtedly, MDCT and CMR provide accurate delineation of SVA and measurement of the sinus and vascular dimensions.…”

mentioning

confidence: 99%

Ruptured Sinus of Valsalva Aneurysms: Does Transesophageal Echocardiography Have a Role in the Era of Sophisticated Cardiac Imaging?

Arora

Kumar

2020

Journal of Cardiothoracic and Vascular Anesthesia

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mentioning

confidence: 99%

Ruptured Sinus of Valsalva Aneurysms: Does Transesophageal Echocardiography Have a Role in the Era of Sophisticated Cardiac Imaging?

Arora

Kumar

2020

Journal of Cardiothoracic and Vascular Anesthesia

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“…B. shows the aneurysm of noncoronary cusp protruded into the right atrium as a round cyst-like structure in systole. 4 Ventricular septal defect (VSD) occurs in about 50% of patients and is the most commonly associated congenital heart disease. RA = right atrium; LA = left atrium; A = aneurysm of noncoronary sinus of Valsalva The congenital form is more common.…”

Section: Discussionmentioning

confidence: 99%

“…Aortic insufficiency has been reported in 30%-50% of cases. 4 Ventricular septal defect (VSD) occurs in about 50% of patients and is the most commonly associated congenital heart disease. 5 Ascending aortic aneurysm (AAA) is reported in association with SOVA in Marfan syndrome and connective tissue disorders.…”

Section: Discussionmentioning

confidence: 99%

Congenital unruptured aneurysm of sinus of Valsalva, quadricuspid aortic valve, and ascending aortic aneurysm associated with genetic leukoencephalopathy in an infant: A new syndrome?

Rad

Pouraliakbar

2017

Echocardiography

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We report a 15-month-old female with unruptured noncoronary sinus of Valsalva anreurysm (SOVA) associated with quadricuspid aortic valve, ascending aortic aneurysm (AAA), moderate aortic insufficiency, mild mitral insufficiency, genetic leukoencepaholpathy, developmental delay and mild mixed aminoaciduria. She was referred for evaluation of a cardiac murmur. Initial echocardiographic examination showed the aneurysm as a round cyst in the right atrium which changed in size during systole and diastole. As to the best of our knowledge, this is the first report of association of SOVA, quadricuspid aortic valve, AAA and genetic leukoencephalopathy in an infant. These associations may suggest a new syndrome. We describe the echocardiographic and computed tomographic angiography findings. We also review 641 cases in the literature and the current six classification systems for SOVA.

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“…The true prevalence of SVAs is unknown; the estimated rate is approximately 0.09% of the general population and 0.1% to 3.5% of all congenital cardiac defects (2). Multiple SVAs are even rarer with very few cases reported in the literature (3)(4)(5). SVAs most often affect one of the SVs, and originate predominantly from the right SV (RSV) (2,(6)(7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

“…SVAs most often affect one of the SVs, and originate predominantly from the right SV (RSV) (2,(6)(7)(8)(9). Patients with unruptured SVAs could be asymptomatic or present with non-specific symptoms such as dyspnea, chest pain, palpitation and syncope (5,(10)(11)(12)(13)(14)(15)(16)(17)(18)(19). Unruptured SVAs may cause valvular regurgitation, annular dilation or deformity, as well as compression of the coronary arteries, cardiac chambers Review Article Surgical management for unruptured sinus of Valsalva aneurysms: a narrative review of the literature…”

Section: Introductionmentioning

confidence: 99%

Surgical management for unruptured sinus of Valsalva aneurysms: a narrative review of the literature

Nguyen¹,

Vervoort²,

Phan³

et al. 2021

J Thorac Dis

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Unruptured sinus of Valsalva aneurysms (SVAs) are rare cardiac lesions that arise due to congenital or acquired etiologies. They could be asymptomatic or cause various clinical manifestations as a consequence of their mass effect on the coronary arteries, heart valves, and other adjacent structures. While the factors predicting SVA rupture are not fully understood, ruptured SVAs carry a high complication and mortality rate, highlighting the need for early recognition and management of unruptured SVAs. Imaging modalities such as echocardiography, computed tomography (CT), angiography, and magnetic resonance imaging (MRI) are essential in identifying and characterizing the aneurysm as well as associated cardiac anomalies. However, there are no specific guidelines for the diagnosis and management of SVAs. Herein, we performed a contemporary systematic review to examine the presentation, diagnostic tests and findings, as well as outcomes for surgical intervention of unruptured SVAs. We demonstrate that surgical repair remains the preferred method of treatment in order to prevent complications such as rupture or thrombus formation.Surgery should be prompted in patients with symptomatic, large, or rapidly expanding unruptured SVAs, as well as those unruptured SVAs that contain intraluminal thrombi, have a mass effect on surrounding structures, or are recurrent. Surgical outcomes are generally good with favourable prognosis and minimal recurrence.

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Multiple unruptured aortic sinus of Valsalva aneurysms: A rare presentation

Cited by 7 publications

References 3 publications

Ruptured Sinus of Valsalva Aneurysms: Does Transesophageal Echocardiography Have a Role in the Era of Sophisticated Cardiac Imaging?

Ruptured Sinus of Valsalva Aneurysms: Does Transesophageal Echocardiography Have a Role in the Era of Sophisticated Cardiac Imaging?

Congenital unruptured aneurysm of sinus of Valsalva, quadricuspid aortic valve, and ascending aortic aneurysm associated with genetic leukoencephalopathy in an infant: A new syndrome?

Surgical management for unruptured sinus of Valsalva aneurysms: a narrative review of the literature

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