Continuous murmur following a non-penetrating chest trauma (original) (raw)
Related papers
A continuous murmur following a nonpenetrating chest trauma
Journal of the Saudi Heart Association, 2016
We reported a rare case of non-penetrating chest trauma-induced fistula from the right sinus of Valsalva to the right heart chambers. The ruptured sinus of Valsalva aneurysm was diagnosed preoperatively and operated on successfully. The rarity of this case highlights the need for a precise preoperative diagnosis, the role of transthoracic echocardiography, and the importance of a prompt surgical management.
Aortic regurgitation and sinus of Valsalva-right atrial fistula after blunt thoracic trauma
Heart, 1982
Non-penetrating chest trauma commonly causes a wide variety of cardiac injuries. Disruption of the aortic valve with resultant aortic regurgitation is not uncommon; conversely, a sinus of Valsalva-right atrial fistula, in the absence of a congenital sinus of Valsalva aneurysm, has been reported only once previously. This report describes the detection by preoperative cardiac catheterisation of both aortic regurgitation and a sinus of Valsalva-right atrial fistula after blunt chest trauma, and its surgical management. The need for preoperative cardiac catheterisation in patients suffering from non-penetrating cardiac trauma is emphasised, even when the diagnosis appears clear, because of the diverse nature and possible multiplicity of cardiac lesions.
Koşuyolu Heart Journal, 2014
Aneurysm of the aortic sinus is a rare pathology and may remain clinically asymptomatic until rupture occurs. The rupture is seen most commonly into the right side of the heart but occasionally into the pericardium, the pulmonary artery, and the left ventricle. Only a few cases have been reported of rupture of a noncoronary sinus of valsalva aneurysm into the left atrium. We report a case of previously healthy 68 years old male who suddenly developed chest pain and pulmonary edema. Echocardiography and angiography revealed a rupture of a noncoronary sinus of valsalva aneurysm into the left atrium.
The American journal of case reports, 2013
Male, 23 FINAL DIAGNOSIS: Sinus of valsalva aneurysm (SVA) Symptoms: Chest pain • low O2 saturation • short of breath - Clinical Procedure: - Specialty: Cardiology. Rare disease. Sinus of valsalva aneurysm (SVA) is a rare cardiac anomaly. It may be congenital or acquired; a coexisting cardiac lesion might be present. Rupture of the aneurysm, where it usually occurs in the right atrium, can cause acute symptoms of heart failure. Echocardiography (particularly TEE) can provide all necessary diagnostic data for safe surgical treatment. Treatment of choice is surgery. A 23-year-old male, previously healthy, presented to the emergency room (ER) with shortness of breath for the last 10 hours after lifting a heavy object. The patient had central chest pain. His O2 sat was 88%. ECG showed ischemic changes. Diagnosis of AMI was made, but auscultation revealed a murmur followed by a TTE and TEE, which revealed a ruptured sinus of valsalva aneurysm. This case report highlights the superiority ...
Penetrating cardiac trauma mimicking congenital sinus Valsalva aneurysm rupture: A case report
Cardiovascular Surgery and Interventions, 2019
Penetrating cardiac injuries are rare, but often fatal. They may present with different manifestations. A 30-year-old male patient was admitted with self-inflicted left parasternal stab wound in the second intercostal space. Computed tomography revealed pericardial and pleural effusion. Echocardiography and aortography showed severe aortic regurgitation and aorto-right ventricular communication mimicking a congenital sinus Valsalva aneurysm rupture. The patient was operated and aortic leaflet repair with a pericardial patch and closure of the communication on both aortic and right ventricular sides were performed. In conclusion, although such traumatic injuries are rare, they may be life-threatening and, therefore, requires prompt treatment.
Journal of the American Society of Echocardiography, 1997
This report describes a case of right coronary sinus of Valsalva aneurysm which ruptured into the left ventride. The diagnosis was made with two-dimensional transthoracic echocardiography which showed an abnormal structure extending from the aortic root into the left ventride adjacent to the interventricular septurn. Subsequent examinations with transesophageal echocardiography and aortic root angiography and surgical findings confirmed the diagnosis of transthoracic echocardiography. The patient underwent aortic valve replacement. At follow-up 12 months later, the patient was without symptoms and repeated echocardiographic examinations showed no recurrence. (J Am Soc Echocardiogr I997;10:862-5.'
Case Reports in Cardiology, 2015
Ruptured noncoronary sinus of valsalva aneurysm with fistulous connections to multiple cardiac chambers has not been reported previously. We report a 66-year-old man who presented with worsening cough and exertional dyspnea. Transesophageal echocardiogram confirmed a large aneurysm involving the noncoronary cusp of the aortic sinus with aneurysmal extension to the left atrium. There were also two fistulous communications with the left atrium and one small fistulous connection with the right atrium. Open-heart surgery with aortic root replacement and reimplantation of coronary arteries along with primary closure and repair of aorta to the left atrial fistula was performed.
Rupture of Aneurysm of Sinus of Valsalva into the Right Ventricle: Report of One Case
Aneurysm of the sinus of Valsalva starts at the base of one of the 3 sinuses of Valsalva; then it extends towards the cardiac chambers. This is a rare disease which diagnosis is most of the time made at the stage of rupture. This work, report a case of ruptured aneurysm of Valsalva's sinus into the right ventricle (RV) in a 54-year-old male patient. Our intention is to emphasize the role of Trans Thoracic Echocardiogram (TTE) in the diagnosis of this pathology.
Ruptured noncoronary sinus of valsalva aneurysm with fistulous connections to multiple cardiac chambers has not been reported previously. We report a 66-year-old man who presented with worsening cough and exertional dyspnea. Transesophageal echocardiogram confirmed a large aneurysm involving the noncoronary cusp of the aortic sinus with aneurysmal extension to the left atrium. There were also two fistulous communications with the left atrium and one small fistulous connection with the right atrium. Open-heart surgery with aortic root replacement and reimplantation of coronary arteries along with primary closure and repair of aorta to the left atrial fistula was performed.
Ruptured left sinus of valsalva aneurysm to right atrium
Indian heart journal
A 6-year-old child presented with left sinus of Valsalva aneurysm opening in right atrium. Origin of sinus of Valsalva from left aortic sinus and its opening into right atrium is extremely rare. The anomaly was corrected surgically by patch closure at the aortic end. Follow-up echocardiography did not reveal any residual shunt in right atrium.