Rupture of sinus of Valsalva aneurysm with aorto-biventricular fistulas and right-ventricular outflow tract obstruction: a unique association.

Autor: Masri SI; Division of Pediatric Cardiology, Department of Pediatrics, Children's Heart Center, American University of Beirut Medical Center, Beirut, Lebanon., Bitar FF, Arabi MT, Majdalani MN, Obeid MY, Al Halees ZY, Diab KA
Jazyk: angličtina
Zdroj: Pediatric cardiology [Pediatr Cardiol] 2013; Vol. 34 (8), pp. 2034-6. Date of Electronic Publication: 2012 Nov 16.
DOI: 10.1007/s00246-012-0581-4
Abstrakt: Sinus of Valsalva aneurysms are a rare entity. Rupture of such aneurysms is a major cause of aortocardiac fistulas usually occurring between the right sinus of Valsalva and right cardiac chambers. We report an exceptional case of a ruptured congenital sinus of Valsalva aneurysm with fistulas involving both the right- and left-ventricular outflow tracts and causing RVOT obstruction. We also demonstrate the utility of computed tomography angiography and transesophageal echocardiography in diagnosing these fistulas.
Databáze: MEDLINE