• Ruptured sinus of valsalva aneurysm presenting as syncope and hypotension: a case report. (medifind.com)
  • Background: Because not much is known about the long-term results of surgical treatment of ruptured sinus of Valsalva aneurysm (RSVA), we reviewed our entire 37-year experience with this condition. (elsevierpure.com)
  • Kassab K, Kaul S, Gomez J, Delafontaine JL, Sawaqed R, Saini A. Ruptured Sinus of Valsalva Aneurysm: Use of Multimodality Imaging in Delineating Structure and Function. (yumaregional.org)
  • You should also learn the technique known as a Valsalva maneuver, which equalizes air pressure within the ears. (medicinenet.com)
  • To perform the Valsalva maneuver, simply hold your nose closed and attempt to exhale with a closed mouth. (medicinenet.com)
  • Valsalva maneuver), should be attempted prior to adenosine administration. (nih.gov)
  • One of the methods, the Valsalva Maneuver, involves plugging the nose while applying slight blowing pressure while holding one's breath. (macksearplugs.com)
  • Older patients with a history of orthostatic intolerance, unexplained syncope and fall trauma, and negative result of active standing test should be further evaluated using cardiovascular autonomic tests such as head-up tilt testing, Valsalva maneuver, and carotid sinus massage. (lu.se)
  • Fifteen individuals with DM and twelve healthy ones were evaluated during cardiovascular autonomic tests of maneuver enhancement of respiratory sinus arrhythmia (RSA), handgrip and Valsalva. (bvsalud.org)
  • 22(3): 321-327 maneuver, active10,11 or passive12 postural maneuver, informed consent signed by parents or responsible, realization of respiratory sinus arrhythmia13, have a diagnosis of DM type 1 and 2, with blood immersion of the face or hand in cold water test14 glucose levels greater than the 126mg/dL18. (bvsalud.org)
  • Aortic Dissection with Fistula between the Sinus of Valsalva and the Right Atrium:Report of a Case. (medifind.com)
  • CPT 33702 describes the repair of a sinus of Valsalva fistula using cardiopulmonary bypass. (codingahead.com)
  • CPT 33710 describes the repair of a sinus of Valsalva fistula with cardiopulmonary bypass and the repairing of a ventricular septal defect. (codingahead.com)
  • Late aortic insufficiency is still a risk, especially in right sinus of Valsalva-to-right ventricle fistula with associated subarterial VSD. (elsevierpure.com)
  • Prior literature describes the oroantral fistula as a direct access, covered by an epithelial tissue, between the maxillary sinus and the oral cavity, which occurs accidentally during a dental extraction when the apical third is near the sinus cavity. (bvsalud.org)
  • Aneurysms of the sinus of Valsalva are rare, with dissecting aneurysms of the sinus of Valsalva that extend into the interventricular septum being even more rare. (authorea.com)
  • Ruptured aneurysms of the sinus of Valsalva. (koreamed.org)
  • A patient with single coronary artery, bicuspid aortic valve and sinus of Valsalva aneurysm. (medifind.com)
  • Single Coronary Artery from Right Sinus of Valsalva: A Single Center Experience of Seven Cases. (manipal.edu)
  • A 61-year-old woman had extracardiac unruptured aneurysms of the right and noncoronary sinuses of Valsalva, detected incidentally on electrocardiogram taken for a physical checkup. (umin.ac.jp)
  • Two-dimensional echocardiography revealed that the sizes of the aneurysm of the right and noncoronary sinuses were 41 ~40 and 38 ~28mm respectively, but the shape of left coronary sinus was almost normal. (umin.ac.jp)
  • Right and noncoronary sinuses of Valsalva were all excised with a small button of the aortic wall around the ostia of the right coronary artery. (umin.ac.jp)
  • For opening the aortic valve, make a longitudinal cut to open the sinus of Valsalva between the left and noncoronary sinuses to visualize all three leaflets. (jove.com)
  • The abnormal origin of the right coronary artery from the left aortic sinus coursing between the aorta and the pulmonary trunk is a rare congenital anomaly. (scirp.org)
  • N. Söylemez, R. Demirbağ, T. Hazırolan and O. AkpınarP, "Anomalous Origin of the Right Coronary Artery from the Left Sinus Valsalva with Coronary Ectasia," International Journal of Clinical Medicine , Vol. 2 No. 3, 2011, pp. 269-271. (scirp.org)
  • Acute inferior myocardial infarction and coronary spasm in a patient with an anomalous origin of the right coronary artery from the left sinus of Valsalva. (scirp.org)
  • The left coronary sinus was left as it was. (umin.ac.jp)
  • The defect of Valsalva was reconstructed with a 26mm Dacron tube graft, the proximal end of which was tailored to a scallop shape and that correspond to left coronary sinus was excised. (umin.ac.jp)
  • In isolated unruptured aneurysms of a sinus of Valsalva without compromise of the aortic valve and/or the coronary ostia, repair may be accomplished by simple placation of the aneurysm or excision of the aneurysm(s) and patch closure of the defect(s) between the aortic annulus and the sinu-vascular ridge. (biomedcentral.com)
  • The transoesophageal echo showed the presence of an aneurysm of the right and non coronary sinus of Valsalva. (biomedcentral.com)
  • The non-coronary sinus extended into the right atrium with what appeared to be a thrombus at the base Fig ( 1 ). (biomedcentral.com)
  • Cardiac MRI confirmed the presence of an aneurysm of the right and non-coronary sinus although the morphology and dimensions of the ascending aorta and the aortic arch appeared normal. (biomedcentral.com)
  • Origin of the Right Coronary Artery from the left Sinus of Valsalva in a Donor Heart with Unsuccessful Repair. (qxmd.com)
  • Because of continued symptoms of heart failure, a coronary angiogram was performed 3 years after the OHT and it showed anomalous origin of the right coronary artery (RCA) from the left sinus of Valsalva. (qxmd.com)
  • The internal wall of the right atrium is composed of a smooth posterior portion (into which the vena cavae and coronary sinus drain) and a ridgelike, muscular anterior portion. (medscape.com)
  • The coronary sinus drains coronary venous blood into the anteroinferior portion of the right atrium. (medscape.com)
  • The thebesian valve is located at the orifice of the coronary sinus. (medscape.com)
  • The inflow tract (sinus) and outflow tract (infundibulum) of the right ventricle are widely separated. (medscape.com)
  • Aortic sinus aneurysms can burst or rupture into adjacent cardiac chambers, which can lead to heart failure if untreated. (wikipedia.org)
  • An aneurysm of the aortic sinus may rupture due to infective endocarditis involving the aortic wall and tertiary-stage syphilis. (wikipedia.org)
  • Rupture of a sinus of Valsalva can occur at any age. (wikipedia.org)
  • The prognosis for patients with sinus of Valsalva aneurysm (SVA) is poor with progressive aneurysmal dilatation or rupture unless early surgical repair is performed. (medscape.com)
  • Aortic Valve Endocarditis Leading to Rupture of Sinus of Valsalva in the right-sided heart chambers is an unusual complication. (qscience.com)
  • Here we have presented a case where infective Endocarditis of Aortic Valve lead to Rupture of Sinus of Valsalva into the right atrium. (qscience.com)
  • Acute heart failure causing by a rare disease: sinus Valsalva rupture. (escardio.org)
  • Myocardial dissection complicating left sinus of Valsalva aneurysm in silent takayasu arteritis. (medifind.com)
  • Sleeve" Sinus of Valsalva Repair in Patients with Acute Type A Aortic Dissection. (medifind.com)
  • Aneurysm of the sinus of Valsalva that causes dissection of the interventricular septum is an extremely rare entity. (koreamed.org)
  • Preoperative diagnoses included annulo-aortic ectasia ( n = 2), localized dissection of the sinus of Valsalva ( n = 2), acute type B aortic dissection ( n = 1), and chronic type B ( n = 4). (springer.com)
  • This report describes a young patient with syphilis and a quadricuspid aortic valve who experienced a spontaneously dissecting aneurysm of the sinus of Valsalva and the basal interventricular septum. (authorea.com)
  • In this report we describe a case of aneurysm of the sinus of Valsalva dissecting into the interventricular septum, from the base to mid septum, after aortic valve replacement. (koreamed.org)
  • Fig. 5 Intraoperative photography showed the aneurysmal opening (arrow) arising from the left sinus of Valsalva into the interventricular septum. (koreamed.org)
  • Aneurysm of sinus of Valsalva dissecting into the interventricular septum. (koreamed.org)
  • 6. Kutay V, Ekim H, Yakut C. Surgical repair of postoperative left sinus of Valsalva aneurysm dissecting into the interventricular septum. (koreamed.org)
  • 7. Güler N, Eryonucu B, Tuncer M, Asker M. Aneurysm of sinus of Valsalva dissecting into interventricular septum: a late complication of aortic valve replacement. (koreamed.org)
  • 11. Basaran Y, Degertekin M, Balkanay M, Dindar I, Turan F, Yakut C. Congenital sinus of Valsalva aneurysm dissecting into the interventricular septum with left ventricular communication. (koreamed.org)
  • Seike Y, Minatoya K, Sasaki H, Tanaka H. Recurrent aortic regurgitation after valve-sparing aortic root replacement due to dilatation of a previously implanted Valsalva graft. (springer.com)
  • Adenosine is not effective in converting rhythms other than PSVT, such as atrial flutter, atrial fibrillation, or ventricular tachycardia, to normal sinus rhythm. (nih.gov)
  • 1. Sajeev CG, Sankar V, Kumar V, Kumar S, Venugopal K. Sinus of Valsalva aneurysm dissecting into ventricular septum. (koreamed.org)
  • Aneurysm of the sinus of Valsalva dissecting into the ventricular septum associated with paravalvular leakage after double valve replacement. (koreamed.org)
  • Ventricular septal defects (VSDs) commonly occur in the area between the sinus and the outlet tract of the right ventricle. (medscape.com)
  • Adenosine slows conduction time through the A-V node, can interrupt the reentry pathways through the A-V node, and can restore normal sinus rhythm in patients with paroxysmal supraventricular tachycardia (PSVT), including PSVT associated with Wolff-Parkinson-White Syndrome. (nih.gov)
  • A cumulative 60% of patients with paroxysmal supraventricular tachycardia had converted to normal sinus rhythm within one minute after an intravenous bolus dose of 6 mg adenosine (some converted on 3 mg and failures were given 6 mg), and a cumulative 92% converted after a bolus dose of 12 mg. (nih.gov)
  • Conversion to sinus rhythm of paroxysmal supraventricular tachycardia (PSVT), including that associated with accessory bypass tracts (Wolff-Parkinson-White Syndrome). (nih.gov)
  • POTS is rarely seen in older adults and presents as abnormal sinus tachycardia on standing with symptoms of orthostatic intolerance, dizziness, fatigue, and cognitive impairment. (lu.se)
  • Yoshikai M , Ishitoya H , Kato H , Truchiya K , Ida Y , Seto T . A case report of ruptured aneurysm of sinus of Valsalva resulted in tricuspid valve endocarditis. (qscience.com)
  • The right ventricle receives blood from the right atrium across the tricuspid valve, which is located in the large anterolateral (ie, sinus) portion of the right ventricle. (medscape.com)
  • There also may be a thrombotic event or heavily calcified valve within the sinus of Valsalva causing obstruction. (medscape.com)
  • For example, if the sinus ruptures in a low pressure area like the right atrium or right ventricle then a continuous type of murmur is heard. (wikipedia.org)
  • Aneurysms originated in the right (n=24) and noncoronary (n=7) sinuses and entered the right ventricle in 21 patients and the right atrium in 10. (elsevierpure.com)
  • All patients who had reoperation had right sinus of Valsalva-to-right ventricle fistulas, and 4 had an additional subarterial VSD. (elsevierpure.com)
  • 2. There are many anatomic considerations suggesting the morphologically left ventricle (LV) may well be a better systemic pump than the morphologically right ventricle (RV) which, if true, would favor the arterial switch procedure as opposed to an atrial switch operation: (1) The LV consists almost entirely of the sinus or pumping portion, and has only a minimal distal infundibular (conal) component. (nih.gov)
  • Ruptured right Valsalva sinus into the right atrium due to infective endocarditis: a case report. (medifind.com)
  • Sinus of Valsalva aneurysm (SVA) is an uncommon cardiac anomaly that can be congenital or acquired. (medscape.com)
  • Congenital sinus of Valsalva aneurysm (SVA) is caused by a dilation, usually of a single sinus of Valsalva, from a separation between the aortic media and the annulus fibrosus. (medscape.com)
  • Primary causes of sinus of Valsalva aneurysm (SVA) are congenital. (medscape.com)
  • Aneurysms of the sinuses of Valsalva are estimated to affect 0.09% of the population. (wikipedia.org)
  • Sinus of Valsalva aneurysm (SVA) was present in 0.09% of cadavers in a large autopsy series and ranged from 0.14% to 0.23% in a Western surgical series. (medscape.com)
  • And when you finish a case, if you're left with not much sinus of Valsalva, if most of the sinus has been obliterated, I think you need to give some thought to this possibility. (medscape.com)
  • A ruptured Sinus of Valsalva abscess represents a surgical emergency. (wikipedia.org)
  • A case of cerebral embolism treated with early surgical intervention for aneurysm of sinus of Valsalva as embolic source. (medifind.com)
  • Ruptured Sinus of Valsalva: clinical and echocardiographic features at presentation and long-term results after surgical and percutaneous repair. (escardio.org)
  • 9. Pan-Chih , Ching-Heng T, Chen-Chun , Chieh-Fu L. Surgical treatment of the ruptured aneurysm of the aortic sinuses. (koreamed.org)
  • There was a suggestion of either a thrombus within the sinuses or an intramural haematoma. (biomedcentral.com)
  • Mean sinus of Valsalva diameter prior to surgery was 45.1 mm (SD±5.1). (aats.org)
  • Another 44% of patients had a mean sinus of Valsalva diameter greater than 30 mm and only about half of the occlusions involved implantation depths considered high. (medscape.com)
  • Careful inspection of the aortic root showed a highly dysplastic arrangement of the leaflets in relation to the aortic sinuses. (biomedcentral.com)
  • There was extensive trabeculation along the insertion lines where the leaflets join the sinus walls, to the extent that no trace of normal tissue is seen in this area. (biomedcentral.com)
  • Internally, the sinus area and infundibulum contain coarse trabeculations. (medscape.com)
  • 1. In acute situations rest and sedation plus carotid artery (one on each side of the front of the neck) sinus massage may be adequate and effective. (rjmatthewsmd.com)
  • Aneurysm of the aortic sinus, also known as the sinus of Valsalva, is a rare abnormality of the aorta, the largest artery in the body. (wikipedia.org)
  • The aorta normally has three small pouches that sit directly above the aortic valve (the sinuses of Valsalva), and an aneurysm of one of these sinuses is a thin-walled swelling. (wikipedia.org)
  • Aortic sinus aneurysms may occur in isolation, or may be seen in association with other diseases of the aorta including Marfan syndrome, Loeys-Dietz syndrome, and bicuspid aortic valve. (wikipedia.org)
  • If unruptured, sinus of Valsalva aneurysm (commonly abbreviated SVA or SOVA) is usually asymptomatic and typically goes undetected until symptoms appear or medical imaging is performed for other reasons. (wikipedia.org)
  • Here we report the first case of sinus of valsava aneurysm in Blau syndrome. (biomedcentral.com)
  • Certain infections and other conditions can cause blockage in the Eustachian tube (which connects the middle ear to the back of the nose and maintains equal air pressure on both sides of the eardrum) or in the sinus openings, and this restriction to the flow of air can prevent the equalization, or equilibration, of pressure and result in pain . (medicinenet.com)
  • It occurs when an electrical impulse fires rapidly from a site outside the sinus node and circles the atria, often due to a short circuit. (hopkinsmedicine.org)
  • Fine wires inside the catheter can help pinpoint any areas outside the sinus node that produce electrical signals, then remove them using catheter ablation. (hopkinsmedicine.org)
  • Ruptured Aneurysm of Sinus of Valsalva: A Case Report. (bvsalud.org)
  • We have presented a case of ruptured aneurysm of sinus of valsalva , in a female of 24 years old, with the symptoms and signs of right heart failure . (bvsalud.org)
  • If a sinus of Valsalva aneurysm ruptures, the life expectancy without treatment is approximately four years. (wikipedia.org)
  • Examples of conditions blocking the equilibration of air pressure in the ears or sinuses include congestion caused by colds or allergies , middle ear infections, and sinus infections. (medicinenet.com)
  • A normal heartbeat begins with an electrical impulse from the sinus nod e , a small area in the heart's right atrium (upper chamber). (hopkinsmedicine.org)