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Cardiologia Croatica, Vol. 17 No. 9-10, 2022.

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https://doi.org/10.15836/ccar2022.240

Ruptured Valsalva aneurysm of the non-coronary cusp: a case report

Denis Mačkić orcid id orcid.org/0000-0001-6540-4944
Edin Begić
Faruk Čustović orcid id orcid.org/0000-0001-7254-8858
Deana Avdalović orcid id orcid.org/0000-0003-2506-9453
Benjamin Palić orcid id orcid.org/0000-0002-1119-6075
Salko Isaković orcid id orcid.org/0000-0002-9272-0747

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Abstract

Keywords

sinus of Valsalva; aneurysm; echocardiography; treatment

Hrčak ID:

287558

URI

https://hrcak.srce.hr/287558

Publication date:

8.12.2022.

Visits: 441 *

Copyright: 2022, Croatian Cardiac Society

Date received: 12 October 2022

Date accepted: 10 November 2022

Publication date (print and electronic): November 2022

Volume: 17

Issue: 9-10

Page: 240

Publisher ID: CC 2022 17_9-10_240

DOI: 10.15836/ccar2022.240

Article Information (continued)

Categories:

Subject: Extended Abstract

Categories:

Subject: Echocardiography, MSCT, MRI

KEYWORDS: :

KEYWORDS:

Keyword: sinus of Valsalva

Keyword: aneurysm

Keyword: echocardiography

Keyword: treatment

Ruptured Valsalva aneurysm of the non-coronary cusp: a case report

[https://orcid.org/0000-0001-6540-4944] Denis Mačkić[1][*]

[https://orcid.org/0000-0001-6842-262X] Edin Begić[1]

[https://orcid.org/0000-0001-7254-8858] Faruk Čustović[1]

[https://orcid.org/0000-0003-2506-9453] Deana Avdalović[2]

[https://orcid.org/0000-0002-1119-6075] Benjamin Palić[2]

[https://orcid.org/0000-0002-9272-0747] Salko Isaković[1]

 

[1] General Hospital “Prim.dr. Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina

[2] Clinic for Internal medicine, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina

Author notes:

Correspondence to: [*] ADDRESS FOR CORRESPONDENCE: Denis Mačkić, General Hospital “Prim.dr. Abdulah Nakaš”, Kranjčevićeva 12, 71000 Sarajevo, Bosnia and Herzegovina. / Phone: +387 33 285-100 / E-mail: denismackic@hotmail.com

Aim: To present a rupture of sinus of Valsalva aneurysm (SOVA) of the non-coronary cusp (NCC) in a 30-year-old female patient who was admitted for hospital treatment because of symptoms related to congestive heart failure.

Case presentation: After transthoracic echocardiography (TTE), where the existence of a ventricular septal defect (VSD) was suspected, transesophageal echocardiography (TEE) was indicated for a patient with a diagnosis of Down syndrome. The left and right heart cavities were of regular dimensions, with preserved systolic function of the left ventricle, along with mild mitral and pulmonary regurgitation. TEE detected a SOVA of NCC, with visible communication with the right atrium, along with trileaflet aortic valve (Figure 1).

FIGURE 1 Rupture of the noncoronary sinus of Valsalva aneurysm.
CC202217_9-10_240-f1

Conclusion: SOVA is a rare congenital heart defect, which is most often detected accidentally, and due to rupture, surgical treatment is indicated (1,2).

LITERATURE

1 

Arrascaeta-Llanes A, Kashyap A, Meyler D, Gupta R, Tharayil Z, Khan W. Ruptured Coronary Sinus of Valsalva in the Setting of a Supracristal Ventricular Septal Defect. Clin Pract Cases Emerg Med. 2020 February 24;4(2):154–7. https://doi.org/10.5811/cpcem.2019.11.44008 PubMed: http://www.ncbi.nlm.nih.gov/pubmed/32426659

2 

Weinreich M, Yu PJ, Trost B. Sinus of valsalva aneurysms: review of the literature and an update on management. Clin Cardiol. 2015 March;38(3):185–9. https://doi.org/10.1002/clc.22359 PubMed: http://www.ncbi.nlm.nih.gov/pubmed/25757442

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