TY - JOUR. T1 - Spontaneous rupture of sinus of valsalva aneurysm presenting as perivalvular hematoma. AU - Sharma, Arindam. AU - Yedlapati, Neeraja. AU - Bob-Manuel, Tamunoinemi. AU - Woods, Timothy. AU - Donovan, Daniel. AU - Ibebuogu, Uzoma. PY - 2018/7/1. Y1 - 2018/7/1. N2 - Acute rupture of sinus of Valsalva often presents as an acute emergency with significant hemodynamic compromise whereas contained rupture of sinus of Valsalva with a perivalvular hematoma formation is rarely seen. We describe the case of a 63-year-old male who presented with acute shortness of breath and was found to have rupture of sinus of Valsalva aneurysm (SVA) with a perivalvular hematoma and severe aortic regurgitation. We also review the presentation, diagnosis, and management of SVAs.. AB - Acute rupture of sinus of Valsalva often presents as an acute emergency with significant hemodynamic compromise whereas contained rupture of sinus of Valsalva with a perivalvular hematoma formation is rarely seen. We describe ...
Sinus of Valsalva aneurysm (SVA) is an uncommon cardiac anomaly that can be congenital or acquired. John Thurnam first described SVA in 1840.
Posted By CCF CARDIO MD - MTR on July 30, 1998 at 16:35:56: In Reply to: sinus of valsalva aneurysm posted by jerry maxham on July 30, 1998 at 09:13:20: 41 y/o with US results: a congen...
This is a report on a child who, in the first decade of life, collapsed after effort and died suddenly. There was clinical evidence of acute myocardial ischaemia. At autopsy, a rare cause was found, viz. aberrant origin of the left coronary artery from the right sinus of Valsalva, which then coursed between the aorta and main pulmonary artery. The importance of recognising this congenital coronary artery abnormality is emphasised.
TY - JOUR. T1 - Sinus valsalva aneurizma ruptúra és reruptúra.. AU - Szuromi, Péter. AU - Hejjel, László. AU - Tóth, Levente. AU - Ajtay, Zénó. AU - Papp, L.. PY - 2006/4. Y1 - 2006/4. N2 - Aneurysm of the sinus of Valsalva (SVA) is a rare condition of the aorta. It progrediates slowly and can be hidden for a long time, but during its development it may cause various symptoms due to compression. Rupture of the aneurysm can result in acute heart failure necessitating an urgent operative treatment. We operated on a patient with symptoms of acute heart failure, grade III-IV tricuspid insufficiency, loud systolo-diastolic murmur and an extremely high calculated right ventricular pressure. The echocardiography discovered the rupture of the non-coronary sinus of Valsalva shunting to the right ventricle. During the operation we removed the aneurysm sac, and closed the hole directly with running sutures. The involved non-coronary cusp ruptured in the early postoperative course, so an acute ...
This paper contains a brief review of the cases, published earlier, of aneurysms of the sinuses of Valsalva, and a case is reported in which the diagnosis was made before rupture of the aneurysm by means of thoracic aortography. No reports are to be found in the literature of the diagnosis of unruptured aortic sinus aneurysms and of the associated clinical findings. Roentgenograms, aortograms and catheterization findings are included.. ...
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MONCADA PAZ, Gustavo A. et al. ANEURYSM OF RIGTH CORONARY SINUS RUPTURE OF VALSALVA IN FEMALE PATIENT: A CASE REPORT. Rev Cient Cienc Méd [online]. 2019, vol.22, n.1, pp. 48-52. ISSN 2077-3323.. Aneurysms of the sinus of Valsalva are infrequent anomalies caused by discontinuity between middle tunic of aorta and the valvular ring. Generally, they are asymptomatic while they are intact, most of them are diagnosed after to a rupture. They affect with more frequency males and its rupture mostly occur in young adults; this defect can be a cause of heart failure. In some cases, can occur as sudden death. Its diagnosis requires imaging studies and its treatment is usually surgical. It is presented the case of an 18 years old female patient, who consulted for symptoms of heart failure. Upon physical examination, It was found hipotension with a displaced tip shock, murmur auscultated in all auscultatory sites and it was irradiated to left armpit, presence of jugular ingurgitation and ascites. Chest ...
Periodical: Paton, Bruce C., R. A. MacMahon, Henry Swan, and S. Gilbert Blount Jr. Ruptured Sinus of Valsalva. Archives of Surgery 90, (February 1965): 209-215. Article. 7 Images ...
A 67-year-old Hispanic woman who was a nonsmoker without significant past medical history was admitted for the evaluation of 3 month history of exertional angina and dyspnea. The patient reported worsening of symptoms when walking farther than 1 block or heavy lifting. She denied resting chest pain. Her resting electrocardiogram (ECG) was normal, however an office stress echocardiogram performed prior to admission was terminated after 3 min due to chest pain, shortness of breath, and 1-mm ST-segment depression. The post-exercise echocardiogram showed mild global left ventricle hypokinesis and no increase in left ventricular size. Cardiac catheterization was performed. During initial aortogram the left main coronary artery was not opacified, even after direct injection of contrast medium into the left sinus of Valsalva. However, a large collateral artery originating from the ostium of the RCA was identified on the RCA injection and subsequent selective catheterization of its orifice (Fig. 1). ...
TY - JOUR. T1 - Reimplantation of anomalous right coronary artery from left main coronary artery. T2 - A surgical option. AU - Karimi, Mohsen. AU - Murdison, Kenneth A. AU - Blackwood, Wesley. AU - Davis, Wesley. PY - 2010/4/1. Y1 - 2010/4/1. N2 - Anomalous right coronary artery (ARCA) from left sinus of Valsalva could present in several forms either being intramural or extramural, and most occurring with separate ostium from left coronary system. ARCA originating from the left main coronary artery (LMCA) is very rare and treatments proposed for this type of anomaly are pulmonary artery translocation or coronary artery bypass grafting (CABG) of the right coronary system. There has not been any report in the literature of successful reimplantation of ARCA from LMCA, to the best of our knowledge, as another surgical option for this anomaly. We are reporting a case of successful surgical reimplantation of an ARCA from LMCA.. AB - Anomalous right coronary artery (ARCA) from left sinus of Valsalva ...
Anomalous origination of coronary artery from the opposite sinus (ACAOS) is a rare coronary artery anomaly. Right ACAOS with interarterial course is a type of ACAOS, which conveys a high risk for myocardial ischemia or sudden death. We reported a case of right ACAOS with interarterial course in otherwise healthy young male. He was asymptomatic, until an obligatory medical check-up with treadmill test showed a sign of positive ischemic response. Further work-up revealed that he had right ACAOS with interarterial course. Watchful observation was applied to him, while strenuous physical activity and competitive sport were absolutely prohibited.
Electron beam tomography (EBT) has been widely used for the assessment of coronary calcification, particularly in patients at risk of coronary artery disease. EB angiography (EBA) has shown significant sensitivity in confirming coronary arterial narrowing involving the proximal and mid-vessel segments. The main advantage of this new imaging technique is its ability to demonstrate the arterial tree, including the coronary arteries, using single breath-hold acquisition while infusing intravenous contrast agent. It does not require a large dose of x-ray radiation exposure followed by a long recumbency for arterial healing, as does conventional coronary angiography. EBA also avoids possible claustrophobic effects of closed tube imaging used by other noninvasive techniques. We present a new application of this technique in patients with anomalous coronary arteries. In 6 patients with congenital anomalous coronary arteries, all coronary artery origins and courses were clearly demonstrated. An example ...
Pulmonary artery catheterization is associated with numerous complications, including serious arrhythmias. We report a case where ventricular tachycardia occurred repeatedly during attempted pulmonary artery catheterization, precluding successful catheterization. Transesophageal echocardiography was used to image the tricuspid valve and right ventricle and revealed a Sinus of Valsalva aneurysm protruding significantly into the right ventricle and obstructing advancement of the pulmonary artery catheter. Our case reveals another identifiable cause of serious arrhythmia during pulmonary artery catheterization and highlights how transesophageal echocardiography can be useful in unanticipated ways during cardiac anesthesia and surgery. ...
Acute Coronary Syndrome in a Patient with a Single Coronary Artery Arising from the Right Sinus of Valsalva: A Case Report Tripodi, Alberto; DellAmore, Andrea; Aquino, Tommaso; Pagliaro, Marco; Fedeli, Corrado; Magnano, Diego; Calvi, Simone; Zussa, Claudio; Lamarra, Mauro; DellAmore, Andrea // Heart, Lung & Circulation;Oct2008, Vol. 17 Issue 5, p421 Coronary anomalies can involve origin or distribution of the artery. Most of these anomalies are not clinically important. A single coronary artery arising from the right coronary sinus of Valsalva is an extremely rare anatomic anomaly. Usually coronary artery malformation is associated with... ...
An anomalous coronary artery (ACA) is a coronary artery that has an abnormality or malformation. The malformation is congenital (present at birth) and is most often related to the origin or location of the coronary artery. However, there may be other defective areas in the coronary artery. Likewise, it may affect the overall size and shape of the affected coronary artery or arteries. ACA may also occur along with other congenital heart defects.. This condition may also be called congenital coronary artery anomaly (CAA).. Although they are present at birth, ACAs are often not diagnosed until late adolescence or adulthood, because of the lack of symptoms or because symptoms may not be recognized as being caused by ACA. Teens or adults with unknown ACA may have an initial episode of chest pain, heart failure, or even sudden cardiac death before the condition is recognized.. ...
Coronary anomalies continue to present an arcane puzzle to most cardiologists. We wish to focus on one particularly fascinating type of defect, in which both coronary arteries arise from the same aortic sinus, or an Anomalous Coronary Artery originates from the Opposite (than normal) Sinus (ACAOS). First reported in 1966 by Jokl and associates1 and more extensively discussed in 1974 by Cheitlin2 and Liberthson3 and their colleagues, anomalous origination of the left coronary artery (LCA) from the right aortic sinus is associated with a high risk of sudden death, usually related to strenuous ex... continue reading about Anomalous Coronary Artery Arising From the Opposite Sinus: Descriptive Features and Pathophysiologic Mechanisms, as Documented ...
Background: Supraventricular tachycardia (SVT) is a relatively common dysrhythmia among the general population and a common dysrhythmia presenting to the emergency department. Generally speaking, it is assumed the provider should attempt a vagal maneuver as first-line treatment for SVT, and the most common vagal maneuver used is the Valsalva. Current resources describing the method to perform the Valsalva are vague, and it seems that the exact procedure may vary across clinicians. Even though the Valsalva maneuver is accepted as first-line treatment, there may not be complete compliance with this maneuver and many emergency departments rely relatively heavily on adenosine as absolute treatment for SVT. Currently accepted methods for performing the Valsalva typically describe the patient in a sitting or semi-recumbent position prior to
Results: 78 hearts had tricuspid aortic valve and two hearts had bicuspid aortic valve. Anomalous origins of right coronary artery from the left posterior aortic sinus in one heart and the left coronary artery from the non-coronary sinus in another heart were noted. Both right and left coronary arteries arose from the anterior aortic sinus in two hearts with bicuspid aortic valve. Single right coronary ostium was seen in 63 hearts (78.75%), two right coronary ostia were found in 14 hearts (17.5%), three right coronary ostia were found in two hearts (2.5%), and four were found in one heart(1.25%). The left coronary ostium was single in all hearts. The mean diameter of right coronary ostium (RCO) was 3.17±0.87 mm and of the left coronary ostium (LCO) was 4.1±0.83 mm. The relation of the right and left coronary ostia to the sinu-tubular junction, to the bottom of the related sinus and to the commissures was also analyzed in detail ...
An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your childs heart muscle arent normal.
An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your childs heart muscle arent normal.
The occurrence of a single coronary artery (SCA) is rare in the absence of other associated anomalies of the heart and is often… Expand ...
The pediatric heart experts at the Nemours Cardiac Center diagnose and treat children with congenital sinus of Valsalva aneurysm/aortico-left ventricular tunnel at the Nemours/Alfred I. duPont Hospital for Children in Wilmington, Del.
A 62-year-old previously asymptomatic man was attended in the emergency room for anginal chest pain of 6 hours evolution. His medical history was remarkable for a combined aortic and mitral valve replacement 15 years previously for endocarditis (anticoagulation with acenocoumarol) and an aneurysm of the noncoronary sinus and ascending aorta, treated with an end-to-end anastomosis (Dacron graft) 2 months previously.. The patient was hemodynamically stable and had persistent pain. The physical examination was not contributory and the surgical wound appeared to be healing well. The ECG showed a known left bundle branch block without changes. During the initial evaluation, echocardiography showed inferior akinesia that was not present on the postoperative study, and a normally functioning graft, without clear visualization of the ascending aorta. An onset of infarction was suspected and 250 mg of aspirin was administered. Angioplasty was contemplated, and coronary angiography performed 60min after ...
Westby G. Fisher, MD, FACC is a board certified internist, cardiologist, and cardiac electrophysiologist (doctor specializing in heart rhythm disorders) practicing at NorthShore University HealthSystem in Evanston, IL, USA and is a Clinical Associate Professor of Medicine at University of Chicagos Pritzker School of Medicine. He entered the blog-o-sphere in November, 2005. DISCLAIMER: The opinions expressed in this blog are strictly the those of the author(s) and should not be construed as the opinion(s) or policy(ies) of NorthShore University HealthSystem, nor recommendations for your care or anyone elses. Please seek professional guidance instead ...
Basso et al. (17) reported an echocardiographic study of 817 apparently healthy primary school students. Bicuspid aortic valve (BAV) was found in 0.5% of cases with a higher prevalence in males (0.75% vs. 0.24%) and was significantly associated with aortic root enlargement compared with children who had tricuspid aortic valves.. Fernandes et al. (18) report on the morphology of BAV in a review of 1,135 patients ,18 years of age who were identified by echocardiography between 1986 and 1999. Median age was three years, and 67% of the patients were males. Right and left coronary leaflet fusion was the most common type occurring in 70%; AS that was moderate or greater was observed most often in patients with right coronary/noncoronary fusion. Similarly, right coronary/noncoronary fusion was more often associated with moderate or greater aortic regurgitation. The majority of patients with coarctation had fusion of right /left coronary leaflets. Prevalence of BAV in simple coarctation was 55%, complex ...
Statins have been used to low cholesterol to prevent and treat coronary artery diseases. It was also reported that statins could protect endothelial function and cardiac function during coronary artery bypass graft. We recent found simvastatin reduced myocardial injury during noncoronary artery cardiac surgery in single medical center. We further investigate that whether simvastatin can protect myocardium during noncoronary artery cardiac surgery with cardiopulmonary bypass and improve cardiac function with long term use postoperatively in two medical centers ...
TY - JOUR. T1 - Subperiosteal orbital hematoma induced by the valsalva maneuver. AU - Katz, Barrett. AU - Carmody, Raymond. PY - 1985. Y1 - 1985. UR - http://www.scopus.com/inward/record.url?scp=0022426760&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0022426760&partnerID=8YFLogxK. U2 - 10.1016/0002-9394(85)90696-8. DO - 10.1016/0002-9394(85)90696-8. M3 - Article. C2 - 4050939. AN - SCOPUS:0022426760. VL - 100. SP - 617. EP - 618. JO - American Journal of Ophthalmology. JF - American Journal of Ophthalmology. SN - 0002-9394. IS - 4. ER - ...
3Yrd. Doç. Dr., Yıldırım Beyazıt Üniversitesi, Göz Hastalıkları A.D, Ankara - TÜRKİYE Valsalva retinopatisi, glottisin ani kapanması ile intraoküler venöz basınç artışına ve retina kapillerlerinin rüptürüne neden olan valsalva manevrası sonrası ortaya çıkar. Preretinal hemoraji nedenlerinden biridir. Genellikle tek tarafl ı olmakla birlikte bilateral de görülebilmektedir. Bu çalışmada şiddetli öksürüğe bağlı valsalva retinopatisi gelişen hastada uygulanan Neodymium:Yttrium Aluminum-Garnet (Nd:YAG) lazer arka hyaloidotomi tedavisinin sonucu değerlendirilmiştir. Keywords : Valsalva retinopatisi, preretinal hemoraji, Nd:YAG lazer arka hyaloidotomi ...
On the left images of a patient with an orbital varix, who had noticed that during straining there was a propulsion of the left eye . The upper image is during rest and the lower image is during valsalva at the moment of sneezing. During valsalva the varix shows extreme dilation (red arrow). Notice that during valsalva also on the normal side the superior ophthalmic vein dilates (blue arrow).. ...
I too have had episodic dizziness and general fatigue. I had a "bout" of generalized weakness that caused me to walk like an elderly person (Im 35). Two doctors have noted unexplained weakness in my front thighs. I have strange headaches that do not fit the migraine description. Ive been trying to figure this out actively for the past 6 months but think it actually started about 1.5 years ago. Ive had 4 MRIs, an EEG, a Sonogram and a CT Scan. I also have been sent to a Psychiatrist for evaluation. He told me that I am not depressed, not making the symtpoms up and not inducing the symptoms- yet that doesnt keep people around me from accusing me of those things anyway. The only thing that has come back are a few blood tests slightly out of range and the MRIs and CT Scan show a blockage in my right sinuses. The doctors are discussing the possibility of operating to take out the blockage, partly in hopes that that will help my symptoms some (although the ENT says he doesnt expect anything ...
Results The incidence of PP and LP, the interval between QRS and LP and the amplitude of PP and LP in IVAs group were significantly greater than those of controls (P , 0.05). In IVAs groups, the amplitude of PP at the target site was smaller than that of unsuccessful site (0.240 ± 0.249 mV vs 0.798 ± 0.532mV, P = 0.004). LP was more often recorded at the target site than at an unsuccessful ablation site before and after RF application (before, P = 0.001; after, P , 0.001). After ablation, the amplitude of LP was obviously decreased (P = 0.016) and the interval between QRS and LP was longer in 21 patients (117 ± 28 ms vs 138 ± 31 ms P = 0.026) at the target site.. ...
Exploring all aspects of research related to disorders of the heart and circulatory system, BMC Cardiovascular Disorders is a well-established open access ...
Eddy currents produced the sinuses of Valsalva (out-pouchings of the aortic wall) prevent the valves occluding the os of the LM and RCA during systole, so they remain patent throughout the cardiac cycle ...
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Coronary anomalies are detected in about 1 % of the general population by coronary angiography and have little clinical significance (Angelini et al. 2002). However, a minority of coronary artery anomalies, particularly in which the coronary artery takes an interarterial course, are known to have a risk of myocardial ischemia or sudden cardiac death (Rigatelli et al. 2005). Several possible causes of myocardial ischemia in cases with anomalous coronary artery origin from the wrong aortic sinus with a course between the aorta and the pulmonary artery have been suggested: acute angle take-off of the coronary artery producing a slit-like lumen; closure of the abnormal coronary orifice by a valve-like ridge at aortic expansion; compression of the artery when it courses within the aortic wall (intramural course) or between the aorta and the pulmonary artery; and spasm of the anomalous coronary artery (Basso et al. 2000; Virmani et al. 1984). Virmani et al. (1984), after observing postmortem coronary ...
Read Siemens clinical case studies to learn more about Computed Tomography in Pediatric Congenital Heart Disease - Anomalous Coronary Arteries
The association between the anatomy of a single coronary artery (SCA) and the surgical risk of aortic valve replacement (AVR) remains unclear due to a lack of studies on this topic. A 73-year-old woman underwent AVR for aortic stenosis. Preoperative coronary angiography results showed a SCA arising from the left coronary sinus. The Manouguian procedure was performed for a small aortic annulus. Intraoperatively, an extracorporeal membrane oxygenator (ECMO) was needed for bypass weaning failure due to newly developed right ventricular dysfunction. Coronary angiography was performed on postoperative day 4, and the findings showed a right coronary artery occlusion just after its origin. After emergent coronary artery bypass surgery, she could be weaned from the ECMO. She was discharged on postoperative day 70 and followed up without complications for 12 months. AVR with the annular enlargement procedure in those with a SCA can result in an unexpected coronary artery occlusion, which should be, therefore,
Background: The aim of our study is to determine the incidence of single coronary artery (SCA). SCA is a rarely seen coronary anomaly in which the right coronary artery and the left main coronary artery arise from single aortic sinus. Although SCA has a benign course in most cases and its clinical significance is unknown, in some autopsy studies it was shown to be related to sudden cardiac death.. Materials and methods: SCA patients detected among 215,140 coronary angiographies (CAG) performed between 1998 and 2013 in SANKO Hospital were included in our study. The classification of CAG was made according to the two different classifications defined by Smith and Lipton and colleagues.. Results: A total number of 215,140 patients who underwent routine CAG were included in the study, and SCA was detected in 67 (0.031%) patients. There were 6 (9%) type R-I, 23 (34%) type R-II, 10 (15%) type R-III, 16 (24%) type L-I and 12 (18%) type L-II patients according to the angiographic ...
Clinically, the Valsalva maneuver is considered as main cause of defecation syncope and surgery Hepatic hemodynamics during Valsalva maneuver performed in a patient with functional suprahepatic inferior vana cava (IVC) obstruction during the Valsalva maneuver [12]. Collapsed IVC showed during the maneuver in normal healthy subjects using ultrasonography study, but IVC howed angular appearance and not collapsed during the maneuver in the venography study [10,11]. The change of IVC during the maneuver is ambiguous and hemodynamic contribution of hepatic vein and portal vein during the maneuver has not been studied in normal healthy subjects. Duplex Doppler ultrasonography of the liver provides important information about liver condition [11,13]. Hepatic vein flow depends on hepatic parenchymal compliance, thoracoabdominal pressure, and right atrial pressure. It is known that hepatic vein Doppler waveform is triphasic pattern which is composed of two anterograde flow peaks toward the heart and one ...
Archives of cardiovascular diseases - Vol. 102 - N° 11 - p. 791-792 - Iconography : ST-segment elevation myocardial infarction and fortuitous finding of a single coronary artery - EM|consulte
Aortic root enlargement may be necessary for a small aortic annulus to allow the implantation of a larger aortic valve prosthesis. Larger prostheses are associated with a lower incidence of patient prosthesis mismatch and lower rates of structural valve deterioration. Looking to the future, a larger aortic valve prosthesis will facilitate valve-in-valve aortic replacements by allowing the placement of a larger valve and decreasing the chances of coronary compromise. In this presentation, the authors describe the Nicks procedure, which enlarges the root by extending the aortotomy across the noncoronary sinus through the annulus into the anterior leaflet of the mitral valve.. ...
Coronary MR angiography. Patient with anomalous origin of the right coronary artery from the left aortic sinus of Valsalva. Coronary angiography was performed u
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Learning Medical Imaging, Cardiac CT to Contrast guides, Unique modules, Quiz of the month, Imaging pearls, Journal Club, Medical Illustrations, CME Courses|CTisus
Learning Medical Imaging, Cardiac CT to Contrast guides, Unique modules, Quiz of the month, Imaging pearls, Journal Club, Medical Illustrations, CME Courses|CTisus
Aneurysms of the sinus of valsalva are rare and almost always originate from the right or non coronary sinuses. Unruptured, they normally remain clinically silent (detected by routine echocardiography) but can cause right ventricular outflow tract obstruction, aortic regurgitation and myocardial ischaemia from coro ...
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Sepsis is the leading cause of death in noncoronary intensive care units in the US. A pathognomonic feature of sepsis is severe tissue injury secondary to a pro...