Rupture of Aortic Sinus Valsalva Aneurysm and its Management
Here, we present successful management of a patient with rupture of right sinus valsalva and ventricular septal defect. Aneurysm of the aortic sinus also known as sinus of valsalva (ASOV) is a rare cardiac defect which can be congenital or acquired. Right coronary sinus (most common) usually ruptu...
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doaj-e1c689f3cf254f0a8f4857b19db9f0172020-11-25T03:19:27ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2014-07-0187GD05GD0610.7860/JCDR/2014/8913.4643Rupture of Aortic Sinus Valsalva Aneurysm and its ManagementKalyan Chakravarthy Peddinti0Vijayalakshmi Gattu1Kartika Balaji Samala2Manikumari Karuturi3Pratap Ramathoti4Assistant Professor, Department of Anaesthesiology and Critical Care, GSL Medical College and General Hospital, Lakshmipuram, Rajahmundry, Andhra Pradesh, India.Professor, Department of Anaesthesiology and Critical Care, GSL Medical College and General Hospital, Lakshmipuram, Rajahmundry, Andhra Pradesh, India.Senior Resident, Department of Anaesthesiology and Critical Care, GSL Medical College and General Hospital, Lakshmipuram, Rajahmundry, Andhra Pradesh, India.Postgraduate, Department of Anaesthesiology and Critical Care, GSL Medical College and General Hospital, Lakshmipuram, Rajahmundry, Andhra Pradesh, India.Professor and Head, Department of Anaesthesiology and Critical Care, GSL Medical College and General Hospital, Lakshmipuram, Rajahmundry, Andhra Pradesh, India.Here, we present successful management of a patient with rupture of right sinus valsalva and ventricular septal defect. Aneurysm of the aortic sinus also known as sinus of valsalva (ASOV) is a rare cardiac defect which can be congenital or acquired. Right coronary sinus (most common) usually ruptures into the right ventricle causing left to right shunt as seen in our patient. Unruptured aneurysms cause obstruction to right ventricular outflow tract. A 29-year-old male patient presented with dyspnea, palpitations, easy fatigability and severe limitation of physical activity. Transthoracic echocardiography showed membranous out pouching of the right coronary cusp (RCC) into the right ventricle. Patient was medically managed with drugs. Under general anaesthesia, after instituting cardiopulmonary bypass (CPB) surgical repair with pericardial patch, closure of subpulmonic ventricular septal defect was performed. Patient vitals were stable after surgery and he was asymptomatic on the first follow-up after discharge. https://jcdr.net/articles/PDF/4643/8913_F(DK)_PF1(PAK)_PFA(AK)_PF2(PAG)_PF2(PN).pdfcardiopulmonary bypassright coronary cuspsinus of valsalva aneurysm |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kalyan Chakravarthy Peddinti Vijayalakshmi Gattu Kartika Balaji Samala Manikumari Karuturi Pratap Ramathoti |
spellingShingle |
Kalyan Chakravarthy Peddinti Vijayalakshmi Gattu Kartika Balaji Samala Manikumari Karuturi Pratap Ramathoti Rupture of Aortic Sinus Valsalva Aneurysm and its Management Journal of Clinical and Diagnostic Research cardiopulmonary bypass right coronary cusp sinus of valsalva aneurysm |
author_facet |
Kalyan Chakravarthy Peddinti Vijayalakshmi Gattu Kartika Balaji Samala Manikumari Karuturi Pratap Ramathoti |
author_sort |
Kalyan Chakravarthy Peddinti |
title |
Rupture of Aortic Sinus Valsalva Aneurysm and its Management |
title_short |
Rupture of Aortic Sinus Valsalva Aneurysm and its Management |
title_full |
Rupture of Aortic Sinus Valsalva Aneurysm and its Management |
title_fullStr |
Rupture of Aortic Sinus Valsalva Aneurysm and its Management |
title_full_unstemmed |
Rupture of Aortic Sinus Valsalva Aneurysm and its Management |
title_sort |
rupture of aortic sinus valsalva aneurysm and its management |
publisher |
JCDR Research and Publications Private Limited |
series |
Journal of Clinical and Diagnostic Research |
issn |
2249-782X 0973-709X |
publishDate |
2014-07-01 |
description |
Here, we present successful management of a patient with rupture of right sinus valsalva and ventricular septal defect. Aneurysm of the
aortic sinus also known as sinus of valsalva (ASOV) is a rare cardiac defect which can be congenital or acquired. Right coronary sinus (most
common) usually ruptures into the right ventricle causing left to right shunt as seen in our patient. Unruptured aneurysms cause obstruction
to right ventricular outflow tract. A 29-year-old male patient presented with dyspnea, palpitations, easy fatigability and severe limitation
of physical activity. Transthoracic echocardiography showed membranous out pouching of the right coronary cusp (RCC) into the right
ventricle. Patient was medically managed with drugs. Under general anaesthesia, after instituting cardiopulmonary bypass (CPB) surgical
repair with pericardial patch, closure of subpulmonic ventricular septal defect was performed. Patient vitals were stable after surgery and
he was asymptomatic on the first follow-up after discharge. |
topic |
cardiopulmonary bypass right coronary cusp sinus of valsalva aneurysm |
url |
https://jcdr.net/articles/PDF/4643/8913_F(DK)_PF1(PAK)_PFA(AK)_PF2(PAG)_PF2(PN).pdf |
work_keys_str_mv |
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