Ruptured sinus of Valsalva aneurysm
Diagnosis certain
Updates to Case Attributes
Status
changed from pending review to published (public).
Published At
was set to
.
Age
changed from 50 to 50 years.
Presentation
was changed:
A middle age-aged female patient presented to the emergency with chest pressure.
Body
was changed:
Ruptured Valsalva sinus aneurysm:
Sinus of Valsalva aneurysm appears a saccular outpouching from the sinus of Valsalva. When it ruptures, it most commonly ruptures into the right ventricle, followed by the right atrium. The aorto-cardiac shunt (left to right shunt) can lead to insidious heart failure.
Extracardiac rupture is rare and can lead to cardiac tamponade, which carrycarries a higher mortality rate. The treatment option is cardiopulmonary bypass surgery.
-<p>Ruptured Valsalva sinus aneurysm:</p><p>Sinus of Valsalva aneurysm appears a saccular outpouching from the sinus of Valsalva. When it ruptures, it most commonly ruptures into the right ventricle followed by the right atrium. The aorto-cardiac shunt (left to right shunt) can lead to insidious heart failure.</p><p>Extracardiac rupture is rare and can lead to cardiac tamponade which carry a higher mortality rate. The treatment option is cardiopulmonary bypass surgery.</p>- +<p>Ruptured Valsalva sinus aneurysm:</p><p>Sinus of Valsalva aneurysm appears a saccular outpouching from the sinus of Valsalva. When it ruptures, it most commonly ruptures into the right ventricle, followed by the right atrium. The aorto-cardiac shunt (left to right shunt) can lead to insidious heart failure.</p><p>Extracardiac rupture is rare and can lead to cardiac tamponade, which carries a higher mortality rate. The treatment option is cardiopulmonary bypass surgery.</p>
Updates to Study Attributes
Findings
was changed:
Orthogonal planes of gated cardiac CTA demonstrate a right coronary Valsalva sinus aneurysm that has rupturesruptured into the right atrium (white arrow). A jet of contrast through the defect into the right atrium is also seen (black arrow).