Unruptured Sinus of Valsalva Aneurysms Manifesting as Complete Heart Block

Rajashekar, D; Subramanyam, Guru; Panchamukheswar, Rao; Praveen, Maddirala; Guruprasad, Sonuguri

doi:10.1177/021849230501300321

Cited by 8 publications

(4 citation statements)

References 6 publications

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“…2 On rare occasion, multiple aortic sinus aneurysms can develop in the same patient. 3 To a large extent, the location of the aneurysm determines the potential adverse consequences.…”

Section: Locationmentioning

confidence: 99%

Congenital Aortic Sinus Aneurysm Causing Sudden Unexpected Death in a 56-Year-Old Woman

Fealey¹,

Edwards²,

McMaster³

et al. 2009

American Journal of Forensic Medicine &Amp; Pathology

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Sudden unexpected death due to hemopericardium generally has 2 main causes, rupture of the ascending aorta or rupture of a transmural myocardial infarct. We report an unusual cause of fatal hemopericardium in a 56-year-old woman that occurred in the setting of a motor vehicle mishap.At autopsy, 300 mL of blood were present in the pericardial sac, due to rupture of a previously undetected congenital aortic sinus aneurysm. The low velocity of the automobile at the time of impact with a fence, and the absence of vehicle-related trauma, led to the conclusion that rupture of the aneurysm caused the motor vehicle mishap, rather than vice versa. Because of the typically silent nature of such aneurysms, it is likely that their rupture will occur out-of-hospital and require a forensic investigation.

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“…2 On rare occasion, multiple aortic sinus aneurysms can develop in the same patient. 3 To a large extent, the location of the aneurysm determines the potential adverse consequences.…”

Section: Locationmentioning

confidence: 99%

Congenital Aortic Sinus Aneurysm Causing Sudden Unexpected Death in a 56-Year-Old Woman

Fealey¹,

Edwards²,

McMaster³

et al. 2009

American Journal of Forensic Medicine &Amp; Pathology

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“…But acute presentation without rupture that needs immediate intervention is rare. It is still rare to come across unruptured giant aneurysm with CHB, and those cases reports are anecdotal [7,8]. Our case is unique because of the presence of the constellations of distortive effect of a giant unruptured SOVA which included CHB, both atrioventricular valve regurgitation, aortic valve regurgitation, obstruction of RVOT, and biventricular dysfunction and all of the distortions improved after surgical exclusion of SOVA from right coronary cusp and mitral ring anuloplasty.…”

Section: Discussionmentioning

confidence: 75%

Giant unruptured sinus of Valsalva aneurysm with complete heart block

Barik

Nemani

Mishra

2016

Journal of Cardiology Cases

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“…Cardiac conduction disturbance due to SVA can occur at several levels, including sinoatrial conduction disruption and various levels of his bundle block. Transient atrioventricular block and persistent complete atrioventricular block are also reported [ 23 ]. Theories to explain previously reported cases were made and agreement was assumed that either direct pressure from the expanding aneurysm or low-grade inflammation can lead to AV conduction defects [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Complete Heart Block with Diastolic Heart Failure and Pulmonary Edema Secondary to Enlarging Previously Diagnosed Thrombosed Aneurysm of Sinus of Valsalva in a Patient with History of Autosomal Dominant Polycystic Kidney Disease

Eltawansy

Amor

Thomas

et al. 2015

Case Reports in Cardiology

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Autosomal dominant polycystic kidney disease (ADPKD) is associated with vascular aneurysms that can affect any part of the vascular tree, like ascending aorta or coronary arteries. Sinus of Valsalva is known as an anatomical dilation at the root of aorta above the aortic valve and very few cases show aneurysm at that site in patients with ADPKD. Sinus of Valsalva aneurysm (SVA) can present with rupture and acute heart failure and infective endocarditis or could be asymptomatic accidentally discovered during cardiac catheterization. We report a case of a 76-year-old male with a unique constellation of cardiovascular anomalies associated with ADPKD. Patient was previously diagnosed with aneurysms affecting ascending aorta, sinus of Valsalva, and coronary arteries. Several years later, he came with complete heart block which was discovered later to be secondary to enlargement of his previously diagnosed thrombosed SVA. His case was complicated with acute heart failure and pulmonary edema. Conclusion. Patients with ADPKD can present with extrarenal manifestations. In our case, aneurysm at sinus of Valsalva was progressively enlarging and presented with complete heart block.

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Unruptured Sinus of Valsalva Aneurysms Manifesting as Complete Heart Block

Cited by 8 publications

References 6 publications

Congenital Aortic Sinus Aneurysm Causing Sudden Unexpected Death in a 56-Year-Old Woman

Congenital Aortic Sinus Aneurysm Causing Sudden Unexpected Death in a 56-Year-Old Woman

Giant unruptured sinus of Valsalva aneurysm with complete heart block

Complete Heart Block with Diastolic Heart Failure and Pulmonary Edema Secondary to Enlarging Previously Diagnosed Thrombosed Aneurysm of Sinus of Valsalva in a Patient with History of Autosomal Dominant Polycystic Kidney Disease

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