Sinus of Valsalva aneurysm
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A sinus of Valsalva aneurysm is a cause of thoracic aortic dilatation. They can be either congenital or acquired (mycotic).
Pathology
Location
It most often involves the right coronary sinus and less frequently the non-coronary sinus 3.
Demographics and clinical presentation
There may be a slight male predilection. Presentation with a catastrophic acute rupture is quite common.
Radiographic features
Cardiac MRI
Considered the imaging modality of choice especially with the mycotic type. features to be added
Complications
- rupture: leading to cardiac tamponade +/- intra cardiac shunting
- ventricular outflow tract obstruction
Treatment
Surgical repair with a Bentall procedure could be performed.
-<li>rupture : leading to <a href="/articles/cardiac-tamponade">cardiac tamponade</a> +/- intra cardiac shunting</li>- +<li>rupture: leading to <a href="/articles/cardiac-tamponade">cardiac tamponade</a> +/- intra cardiac shunting</li>
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