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Target Concepts:
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Query: UMLS:C0018801 (
heart failure
)
72,216
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
The combination of
ruptured aneurysm
of the sinus of Valsalva and a bicuspid aortic valve is very rare in an elderly person. A 71-year-old man with
ruptured aneurysm
of the sinus of Valsalva and a bicuspid aortic valve had undergone an operation. He was admitted to his other hospital because of
heart failure
. He was transferred to our hospital to undergo treatment for
ruptured aneurysm
of sinus of Valsalva. At our hospital, echocardiography findings showed
ruptured aneurysm
of the sinus of Valsalva, a ventricular septal defect (VSD), and severe aortic regurgitation with moderate stenosis of the bicuspid aortic valve. An aneurysm originating from the anterior sinus of Valsalva had ruptured into the right ventricular outflow tract. The
ruptured aneurysm
and VSD were repaired by patch closure through the right ventricular outflow tract. Additionally, the aneurysm of the sinus of Valsalva was repaired with direct closure through aortotomy. The insufficient bicuspid aortic valve was replaced with a bioprosthetic valve. After the operation,
heart failure
improved promptly, and he was making satisfactory progress in his recovery.
...
PMID:[Ruptured Aneurysm of the Sinus of Valsalva Accompanied with a Bicuspid Aortic Valve in an Elderly Man;Report of a Case]. 2889 58
A 35-year-old male patient presented with
heart failure
. On examination, there was a continuous murmur over the left sternum. Transthoracic echocardiography revealed a
ruptured aneurysm
arising from the noncoronary sinus of Valsalva and draining into the right atrium.
...
PMID:Ruptured Sinus of Valsalva: An Unusual Cause of Heart Failure. 2962 65
In all young and middle-aged patients presenting with symptoms of acute
heart failure
and new heart murmurs, sinus of Valsalva aneurysm (SVA) rupture should be considered in the differential diagnosis. Most of SVAs rupture into the right side of the heart. Percutaneous closure is a less invasive alternative to surgery. A 25-year-old man presented with shortness of breath New York Heart Association class III of nine months' duration with a progressive course. He had a continuous murmur with maximum intensity over the left sternal border and propagated all over the pericardium. Chest radiographs revealed moderate congestion. Transthoracic and transesophageal echocardiograms with 3D imaging revealed a shunt between the ruptured noncoronary SVA and the right atrium. Percutaneous closure decided; the wire passed from superior vena caca through the ruptured sinus to the aorta. The distal disc of the device deployed in the aorta and the proximal disc in the right atrium. The
ruptured aneurysm
closed with no more flow to the right atrium. The patient was discharged from the hospital after two days. In conclusion, device closure of ruptured coronary sinus to the right atrium is feasible and safe. Surgery should be reserved for patients with failed device closure. <
Learning objective:
The feasibility, safety, and technique of transcatheter closure of ruptured noncoronary sinus of Valsalva to the right atrium. The role of transesophageal echocardiography in ruptured sinus of Valsalva diagnosis and guiding the device closure.>.
...
PMID:Percutaneous closure of ruptured noncoronary sinus of Valsalva to right atrium causing severe right heart failure, a case report. 3204 59
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