Ruptured Valsalva Sinus Aneurysm with Ventricular Septal Defect and Double-Chambered Right Ventricle without Heart Failure: A Case Report
Valsalva sinus aneurysm and double-chambered right ventricle are both rare congenital cardiac anomalies. Ventricular
septal defect may be present in approximately 50%-60% of patients with Valsalva sinus aneurysm or approximately 70%-80% of patients with double-chambered right ventricle. However, Valsalva sinus aneurysm, double-chambered right ventricle, and ventricular septal defect rarely coexist in the same patient. As these diseases progress, patients often complain of symptoms of heart failure, due to the shunt flow. The case of a patient with Valsalva sinus aneurysm, double-chambered right ventricle, and ventricular septal defect without symptoms of heart failure had never been reported until now.
Arai N, Matsumoto A, Nishikawa N, et al. 2001. Beta-blocker therapy improved symptoms and exercise capacity in a patient with dynamic intra-right ventricle. J Am Soc Echocardiogr 14:650-653.
Cabrera A, Martinez P, Rumoroso JR, et al. 1995. Double-chambered right ventricle. Eur Heart J 16:682-686.
Galal D, Al-Halees Z, SOlymer L, et al. 2000. Double-chambered right ventricle in 73 patients: Spectrum of the disease and surgical results of transatrial repair. Can J Cradiol 16:157-174.
Gallucci V, Scalia D, Thiene G, et al. 1980. Double-chambered right ventricle: Surgical Experience and Anatomical Considerations. Thorac Cardiovasc Surg 28:13-17.
Jung SH, Yun TJ, Im YM, et al. 2008. Ruptured sinus of Valsalva aneurysm: transaortic repair may cause sinus of Valsalva distortion and aortic regurgitation. J Thorac Cardiovasc Surg 135:1153-1158.
Maruo A, Higami T, Obo H, Shida T. 2003. Ruptured sinus of Valsalva aneurysm associated with aortic regurgitation caused by hemodynamic effect solely. Eur J Cardiothorac Surg 24:318-319.
Miranda D, Peter AA, Osorio J, Ferreira AC. 2005. Ruptured Aneurysm of the Noncoronary Sinus of Valsalva. Tex Heart Inst J 32:586-588.
Moustafa S, Mookadam F, Cooper L, et al. 2007. Sinus of Valsalva aneurysms – 47 years of a single center experience and systematic overview of published reports. Am J Cardiol 84:156-160.
Post MC. Braam RL, Groenemejier BE, et al. 2010. Rupture of right coronary sinus of Valsalva aneurysm into right ventricle. Neth Heart J 18:209-211.
Takach TJ, Reul GJ, Duncan JM, et al. 1999. Sinus of Valsalva Aneurysm or Fistula: Management and Outcome. Ann Thorac Surg 68:1573-1577.
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