Die Ruptur eines kongenitalen rechtskoronaren Sinus-Valsalva-Aneurysmas als Ursache einer akuten kardialen Dekompensation
| Autor: | Maurer E, Robert Berent, F. Pichler, Johann Auer, C. Punzengruber, H. Mayr, Bernd Eber |
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| Rok vydání: | 2000 |
| Předmět: |
Aortic valve
medicine.medical_specialty Heart disease business.industry medicine.medical_treatment medicine.disease Surgery medicine.anatomical_structure Aneurysm Right heart failure Ventricle Heart failure cardiovascular system medicine Cardiology and Cardiovascular Medicine business Coronary sinus Cardiac catheterization |
| Zdroj: | Zeitschrift für Kardiologie. 89:109-113 |
| ISSN: | 1435-1285 0300-5860 |
| DOI: | 10.1007/s003920050017 |
| Popis: | A 54 year old woman was admitted to a hospital because of acute thoracal pain, dyspnea, and clinical signs of overt right heart failure. Transthoracic and multiplane echocardiography established the diagnosis of a ruptured aneurysm of the right coronary sinus of valsalva into the right atrium which could be confirmed by cardiac catheterization. During heart surgery, which was done without complications, the defect was closed with a suture. Six months later echocardiography showed a normal right ventricle; the function of the aortic valve was regular. Acute heart failure may be due to a congenital structural cardiac anomaly in spite of the age of 54. In such conditions transthoracic and especially transesophageal echocardiography serve as noninvasive excellent tools to make an exact diagnosis. |
| Databáze: | OpenAIRE |
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