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01-01-2013 | Imaging in Cardiology | Uitgave 1/2013 Open Access

Netherlands Heart Journal 1/2013

Ruptured sinus of Valsalva aneurysm association with bicuspid aortic valve

Tijdschrift:
Netherlands Heart Journal > Uitgave 1/2013
Auteurs:
G. Ertaş, A. S. Çetinkaya, M. E. Mehmetoğlu
Belangrijke opmerkingen
An erratum to this article can be found at http://​dx.​doi.​org/​10.​1007/​s12471-012-0286-6.
Sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly and comprises less than 1% of congenital cardiac defects. It can be congenital or acquired. Echocardiography and cardiac magnetic resonance imaging are noninvasive imaging procedures primarily used for diagnosis.
A 47-year-old patient with a history of asthma was admitted through the emergency department which dyspnoea that had started three weeks previously. Physical examination revealed a regular pulse of 106 beats/min. The blood pressure was 110/60 mmHg. He had a grade 5 continuous murmur and bilateral basal rales on physical examination.
Transthoracic echocardiography was performed and showed a slightly dilated right ventricle in the presence of a ruptured SVA left-to-right shunt from the aorta into the right atrium in association with a bicuspid aortic valve (Fig.  1). We had planned surgery but the patient refused the operation. SVA is an uncommon condition and association with bicuspid aortic valve has been reported previously [ 1, 2]. Transoesophageal echocardiography and magnetic resonance imaging are useful for diagnosis and may help to delineate the anatomy further. Unfortunately, the patient did not give permission for further evaluation and treatment.

Open Access

This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
Open AccessThis is an open access article distributed under the terms of the Creative Commons Attribution Noncommercial License ( https://​creativecommons.​org/​licenses/​by-nc/​2.​0), which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

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Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

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