Ruptured Aneurysm of the Sinus of Valsalva Causing Pulmonary Embolism: A Rare Association
Abstract Aneurysms of the sinus of Valsalva are rare. Unruptured sinus of Valsalva aneurysm is usually asymptomatic and rarely presents as right ventricular outflow obstruction, myocardial infarction as a result of coronary artery compression, conduction disturbances, or endocarditis. They have only...
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| Published in: | Aorta (Stamford, Conn.) Vol. 8; no. 4; pp. 107 - 110 |
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| Abstract | Abstract
Aneurysms of the sinus of Valsalva are rare. Unruptured sinus of Valsalva aneurysm is usually asymptomatic and rarely presents as right ventricular outflow obstruction, myocardial infarction as a result of coronary artery compression, conduction disturbances, or endocarditis. They have only been reported as the presumed source of embolism in six cases. We report a patient with right sinus of Valsalva rupture to the right atrium and embolization of aneurysm contents to the pulmonary vasculature. |
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| AbstractList | Abstract
Aneurysms of the sinus of Valsalva are rare. Unruptured sinus of Valsalva aneurysm is usually asymptomatic and rarely presents as right ventricular outflow obstruction, myocardial infarction as a result of coronary artery compression, conduction disturbances, or endocarditis. They have only been reported as the presumed source of embolism in six cases. We report a patient with right sinus of Valsalva rupture to the right atrium and embolization of aneurysm contents to the pulmonary vasculature. Aneurysms of the sinus of Valsalva are rare. Unruptured sinus of Valsalva aneurysm is usually asymptomatic and rarely presents as right ventricular outflow obstruction, myocardial infarction as a result of coronary artery compression, conduction disturbances, or endocarditis. They have only been reported as the presumed source of embolism in six cases. We report a patient with right sinus of Valsalva rupture to the right atrium and embolization of aneurysm contents to the pulmonary vasculature. |
| Author | Barroso, Francisco V. C. Valente, Acrisio S. Reis, Ricardo C. Lima, Neiberg A. Takakura, Isabela T. Justo Neto Júnior, José Sobrinho, Carlos R. M. Rodrigues Gomes, Camila R. F. |
| AuthorAffiliation | 1 Department of Cardiology and Cardiovascular Surgery, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil 2 School of Medicine, University of Fortaleza (UNIFOR), Fortaleza, Ceará, Brazil 3 Department of Pneumology, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil |
| AuthorAffiliation_xml | – name: 1 Department of Cardiology and Cardiovascular Surgery, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil – name: 2 School of Medicine, University of Fortaleza (UNIFOR), Fortaleza, Ceará, Brazil – name: 3 Department of Pneumology, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil |
| Author_xml | – sequence: 1 givenname: Francisco V. C. surname: Barroso fullname: Barroso, Francisco V. C. organization: Department of Cardiology and Cardiovascular Surgery, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil – sequence: 2 givenname: Isabela T. surname: Takakura fullname: Takakura, Isabela T. email: isabelatakakura@gmail.com organization: St. Pastor Samuel Munguba – sequence: 3 givenname: Ricardo C. surname: Reis fullname: Reis, Ricardo C. organization: Department of Pneumology, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil – sequence: 4 givenname: Acrisio S. surname: Valente fullname: Valente, Acrisio S. organization: Department of Cardiology and Cardiovascular Surgery, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil – sequence: 5 givenname: Neiberg A. surname: Lima fullname: Lima, Neiberg A. organization: Department of Cardiology and Cardiovascular Surgery, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil – sequence: 6 givenname: Camila R. F. surname: Gomes fullname: Gomes, Camila R. F. organization: Department of Cardiology and Cardiovascular Surgery, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil – sequence: 7 givenname: José surname: Justo Neto Júnior fullname: Justo Neto Júnior, José organization: Department of Pneumology, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil – sequence: 8 givenname: Carlos R. M. Rodrigues surname: Sobrinho fullname: Sobrinho, Carlos R. M. Rodrigues organization: Department of Cardiology and Cardiovascular Surgery, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil |
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| Cites_doi | 10.1016/0002-8703(93)90191-B 10.1136/hrt.69.3.266 10.1016/S0894-7317(96)90482-4 10.2169/internalmedicine.45.1634 10.1161/01.STR.27.8.1424 10.1016/j.amjms.2016.05.033 10.12945/j.aorta.2016.15.027 10.1161/CIRCULATIONAHA.107.730325 10.1016/j.hrtlng.2017.10.005 10.1007/s12574-018-0378-4 10.1111/chd.12572 |
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| Keywords | pulmonary embolism aneurysm sinus of Valsalva's aneurysm |
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| References | M Ruzieh (ref5) 2016; 352 R M Shahrabani (ref4) 1993; 69 D C Wortham (ref2) 1993; 125 A Nakata (ref6) 2006; 45 F Gündoğdu (ref7) 2011; 39 C Stöllberger (ref3) 1996; 27 E Steinberg (ref11) 1996; 9 T S Marroush (ref9) 2018; 47 A Brandão (ref13) 2008; 27 A Phatarpekar (ref8) 2016; 4 J W Xiao (ref14) 2018; 13 H Umeda (ref12) 2018; 16 F Liu (ref1) 2014; 7 J B Gonzalez (ref10) 2008; 117 |
| References_xml | – volume: 125 start-page: 896 issue: 03 year: 1993 ident: ref2 article-title: Unruptured sinus of Valsalva aneurysm presenting with embolization publication-title: Am Heart J doi: 10.1016/0002-8703(93)90191-B contributor: fullname: D C Wortham – volume: 69 start-page: 266 issue: 03 year: 1993 ident: ref4 article-title: Unruptured aneurysm of the sinus of Valsalva: a potential source of cerebrovascular embolism publication-title: Br Heart J doi: 10.1136/hrt.69.3.266 contributor: fullname: R M Shahrabani – volume: 9 start-page: 880 issue: 06 year: 1996 ident: ref11 article-title: Spontaneous echocardiographic contrast within an unruptured sinus of Valsalva aneurysm: a potential embolic source diagnosed by transesophageal echocardiography publication-title: J Am Soc Echocardiogr doi: 10.1016/S0894-7317(96)90482-4 contributor: fullname: E Steinberg – volume: 45 start-page: 909 issue: 15 year: 2006 ident: ref6 article-title: Sinus of Valsalva thrombosis causing renal infarction publication-title: Intern Med doi: 10.2169/internalmedicine.45.1634 contributor: fullname: A Nakata – volume: 27 start-page: 1424 issue: 08 year: 1996 ident: ref3 article-title: Aneurysm of the left sinus of Valsalva. An unusual source of cerebral embolism publication-title: Stroke doi: 10.1161/01.STR.27.8.1424 contributor: fullname: C Stöllberger – volume: 352 start-page: 333 issue: 03 year: 2016 ident: ref5 article-title: Embolic stroke due to sinus of Valsalva aneurysm thrombus publication-title: Am J Med Sci doi: 10.1016/j.amjms.2016.05.033 contributor: fullname: M Ruzieh – volume: 4 start-page: 105 issue: 03 year: 2016 ident: ref8 article-title: Is the sac waiting to rupture? Sinus of Valsalva aneurysm publication-title: Aorta (Stamford) doi: 10.12945/j.aorta.2016.15.027 contributor: fullname: A Phatarpekar – volume: 117 start-page: e308 issue: 15 year: 2008 ident: ref10 article-title: Images in cardiovascular medicine. Sinus of Valsalva aneurysms: a unique case of giant aneurysms involving all 3 sinuses publication-title: Circulation doi: 10.1161/CIRCULATIONAHA.107.730325 contributor: fullname: J B Gonzalez – volume: 7 start-page: 2945 issue: 09 year: 2014 ident: ref1 article-title: A rare cause of sudden dyspnea and unexpected death in adolescence: fistula from aortic sinus of Valsalva to right atrium publication-title: Int J Clin Exp Med contributor: fullname: F Liu – volume: 27 start-page: 485 issue: 04 year: 2008 ident: ref13 article-title: Thrombosed aneurysm of the left sinus of Valsalva publication-title: Rev Port Cardiol contributor: fullname: A Brandão – volume: 47 start-page: 131 issue: 02 year: 2018 ident: ref9 article-title: Rupture of sinus of Valsalva aneurysm: Two case reports and a concise review of the literature publication-title: Heart Lung doi: 10.1016/j.hrtlng.2017.10.005 contributor: fullname: T S Marroush – volume: 39 start-page: 52 issue: 01 year: 2011 ident: ref7 article-title: Sinus of Valsalva thrombosis causing peripheral embolism publication-title: Turk Kardiyol Dern Ars contributor: fullname: F Gündoğdu – volume: 16 start-page: 182 issue: 04 year: 2018 ident: ref12 article-title: Rapid growth of thrombus formation in the unruptured sinus of Valsalva aneurysm following coronary angiography publication-title: J Echocardiogr doi: 10.1007/s12574-018-0378-4 contributor: fullname: H Umeda – volume: 13 start-page: 305 issue: 02 year: 2018 ident: ref14 article-title: Clinical outcomes of percutaneous or surgical closure of ruptured sinus of Valsalva aneurysm publication-title: Congenit Heart Dis doi: 10.1111/chd.12572 contributor: fullname: J W Xiao |
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Aneurysms of the sinus of Valsalva are rare. Unruptured sinus of Valsalva aneurysm is usually asymptomatic and rarely presents as right ventricular... Aneurysms of the sinus of Valsalva are rare. Unruptured sinus of Valsalva aneurysm is usually asymptomatic and rarely presents as right ventricular outflow... |
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| Title | Ruptured Aneurysm of the Sinus of Valsalva Causing Pulmonary Embolism: A Rare Association |
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