Ruptured Sinus of Valsalva Aneurysm into the Left Atrium with Multiple Fistulous Communications: A Rare Cause of Heart Failure

Ruptured Sinus of Valsalva Aneurysm into the Left Atrium with Multiple Fistulous Communications: A Rare Cause of Heart Failure

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 non...

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Main Authors: Yashwant Agrawal, Rakshita Chandrashekhar, Jerry W. Pratt, Maria D. Cole, Sreenivas Kamath, Jagadeesh K. Kalavakunta
Format: Article
Language:English
Published: Hindawi Limited 2015-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2015/627946
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spelling doaj-1e505aa7cdb84979abf750168119535f2020-11-24T21:15:14ZengHindawi LimitedCase Reports in Cardiology2090-64042090-64122015-01-01201510.1155/2015/627946627946Ruptured Sinus of Valsalva Aneurysm into the Left Atrium with Multiple Fistulous Communications: A Rare Cause of Heart FailureYashwant Agrawal0Rakshita Chandrashekhar1Jerry W. Pratt2Maria D. Cole3Sreenivas Kamath4Jagadeesh K. Kalavakunta5Department of Internal Medicine/Pediatrics and Department of Internal Medicine, Western Michigan University Homer Stryker School of Medicine, Kalamazoo, MI 49048, USADepartment of Internal Medicine/Pediatrics and Department of Internal Medicine, Western Michigan University Homer Stryker School of Medicine, Kalamazoo, MI 49048, USADepartment of Cardiology and Cardiothoracic Surgery, Borgess Medical Center, Kalamazoo, MI 49048, USADepartment of Cardiology and Cardiothoracic Surgery, Borgess Medical Center, Kalamazoo, MI 49048, USADepartment of Cardiology and Cardiothoracic Surgery, Borgess Medical Center, Kalamazoo, MI 49048, USADepartment of Cardiology and Cardiothoracic Surgery, Borgess Medical Center, Kalamazoo, MI 49048, USARuptured 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.http://dx.doi.org/10.1155/2015/627946
collection DOAJ
language English
format Article
sources DOAJ
author Yashwant Agrawal
Rakshita Chandrashekhar
Jerry W. Pratt
Maria D. Cole
Sreenivas Kamath
Jagadeesh K. Kalavakunta
spellingShingle Yashwant Agrawal
Rakshita Chandrashekhar
Jerry W. Pratt
Maria D. Cole
Sreenivas Kamath
Jagadeesh K. Kalavakunta
Ruptured Sinus of Valsalva Aneurysm into the Left Atrium with Multiple Fistulous Communications: A Rare Cause of Heart Failure
Case Reports in Cardiology
author_facet Yashwant Agrawal
Rakshita Chandrashekhar
Jerry W. Pratt
Maria D. Cole
Sreenivas Kamath
Jagadeesh K. Kalavakunta
author_sort Yashwant Agrawal
title Ruptured Sinus of Valsalva Aneurysm into the Left Atrium with Multiple Fistulous Communications: A Rare Cause of Heart Failure
title_short Ruptured Sinus of Valsalva Aneurysm into the Left Atrium with Multiple Fistulous Communications: A Rare Cause of Heart Failure
title_full Ruptured Sinus of Valsalva Aneurysm into the Left Atrium with Multiple Fistulous Communications: A Rare Cause of Heart Failure
title_fullStr Ruptured Sinus of Valsalva Aneurysm into the Left Atrium with Multiple Fistulous Communications: A Rare Cause of Heart Failure
title_full_unstemmed Ruptured Sinus of Valsalva Aneurysm into the Left Atrium with Multiple Fistulous Communications: A Rare Cause of Heart Failure
title_sort ruptured sinus of valsalva aneurysm into the left atrium with multiple fistulous communications: a rare cause of heart failure
publisher Hindawi Limited
series Case Reports in Cardiology
issn 2090-6404
2090-6412
publishDate 2015-01-01
description 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.
url http://dx.doi.org/10.1155/2015/627946
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