Complicated ruptured sinus of Valsalva: cardiac computed tomographic angiography (64 slice) predicts surgical appearance and obviates need for invasive cardiac catheterization
Autor: | Ronald P. Karlsberg, Thomas K. Ro, Bruno Cotter, Sinan Simsir |
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Rok vydání: | 2009 |
Předmět: |
Male
Pulmonary and Respiratory Medicine Cardiac Catheterization medicine.medical_specialty Heart Diseases Aortic Rupture Heart Ventricles Fistula medicine.medical_treatment Aortic Valve Insufficiency Coronary Angiography Aortic aneurysm Aneurysm Predictive Value of Tests medicine Humans Pericardium Aortic rupture Sinus (anatomy) Cardiac catheterization Bioprosthesis Heart Valve Prosthesis Implantation Vascular Fistula medicine.diagnostic_test business.industry Endocarditis Bacterial Middle Aged Sinus of Valsalva medicine.disease Aortic Aneurysm Treatment Outcome medicine.anatomical_structure Heart Valve Prosthesis Angiography cardiovascular system Cineangiography Surgery Radiology Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Aneurysm False |
Zdroj: | Interactive CardioVascular and Thoracic Surgery. 9:888-890 |
ISSN: | 1569-9285 1569-9293 |
Popis: | We present a case report of a ruptured sinus of Valsalva aneurysm (SVA) that presented as aortic insufficiency following bacterial endocarditits in a cardiac transplant patient. Cardiac computed tomographic angiography (CCTA) including volume rendered images predicted the appearance of the fistula entrance and defined spatial relationships facilitating the surgical approach. CCTA ability to define the coronary anatomy obviated the need for invasive coronary angiography. The use of this imaging modality especially with three-dimensional spatial visualization, and multiphase cine angiography can add significant value to the care of a patient with ruptured sinus of Valsalva. |
Databáze: | OpenAIRE |
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