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A Case of Sinus of Valsalva Aneurysm Rupture Causing Cardiogenic Shock
A sinus of Valsalva aneurysm (SVA) is an abnormal dilation between the aortic valve annulus and sinotubular junction resulting from weakness in the elastic lamina. In the vast majority of cases, SVAs are asymptomatic and are incidentally detected on echocardiogram imaging. In some cases, they can ru...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10531028/ https://www.ncbi.nlm.nih.gov/pubmed/37772205 http://dx.doi.org/10.7759/cureus.44210 |
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author | Dadana, Sriharsha Kondapalli, Anusha Madhwani, Vipul |
author_facet | Dadana, Sriharsha Kondapalli, Anusha Madhwani, Vipul |
author_sort | Dadana, Sriharsha |
collection | PubMed |
description | A sinus of Valsalva aneurysm (SVA) is an abnormal dilation between the aortic valve annulus and sinotubular junction resulting from weakness in the elastic lamina. In the vast majority of cases, SVAs are asymptomatic and are incidentally detected on echocardiogram imaging. In some cases, they can rupture and lead to an intracardiac shunt. Sudden rupture of a high-flow aneurysm can lead to significant hemodynamic compromise and a high fatality rate if not diagnosed early and intervened upon. We present the case of a 68-year-old male who presented with symptoms of heart failure and later rapidly deteriorated due to a sudden spontaneous rupture of the SVA leading to cardiogenic shock. In our case, timely identification and intervention led to a good outcome for our patient. We also present echocardiogram images and videos to educate the readers further about diagnosing SVA. With this case report, we would like to help clinicians and researchers expand their understanding of the condition and treatment outcomes. |
format | Online Article Text |
id | pubmed-10531028 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-105310282023-09-28 A Case of Sinus of Valsalva Aneurysm Rupture Causing Cardiogenic Shock Dadana, Sriharsha Kondapalli, Anusha Madhwani, Vipul Cureus Cardiac/Thoracic/Vascular Surgery A sinus of Valsalva aneurysm (SVA) is an abnormal dilation between the aortic valve annulus and sinotubular junction resulting from weakness in the elastic lamina. In the vast majority of cases, SVAs are asymptomatic and are incidentally detected on echocardiogram imaging. In some cases, they can rupture and lead to an intracardiac shunt. Sudden rupture of a high-flow aneurysm can lead to significant hemodynamic compromise and a high fatality rate if not diagnosed early and intervened upon. We present the case of a 68-year-old male who presented with symptoms of heart failure and later rapidly deteriorated due to a sudden spontaneous rupture of the SVA leading to cardiogenic shock. In our case, timely identification and intervention led to a good outcome for our patient. We also present echocardiogram images and videos to educate the readers further about diagnosing SVA. With this case report, we would like to help clinicians and researchers expand their understanding of the condition and treatment outcomes. Cureus 2023-08-27 /pmc/articles/PMC10531028/ /pubmed/37772205 http://dx.doi.org/10.7759/cureus.44210 Text en Copyright © 2023, Dadana et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiac/Thoracic/Vascular Surgery Dadana, Sriharsha Kondapalli, Anusha Madhwani, Vipul A Case of Sinus of Valsalva Aneurysm Rupture Causing Cardiogenic Shock |
title | A Case of Sinus of Valsalva Aneurysm Rupture Causing Cardiogenic Shock |
title_full | A Case of Sinus of Valsalva Aneurysm Rupture Causing Cardiogenic Shock |
title_fullStr | A Case of Sinus of Valsalva Aneurysm Rupture Causing Cardiogenic Shock |
title_full_unstemmed | A Case of Sinus of Valsalva Aneurysm Rupture Causing Cardiogenic Shock |
title_short | A Case of Sinus of Valsalva Aneurysm Rupture Causing Cardiogenic Shock |
title_sort | case of sinus of valsalva aneurysm rupture causing cardiogenic shock |
topic | Cardiac/Thoracic/Vascular Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10531028/ https://www.ncbi.nlm.nih.gov/pubmed/37772205 http://dx.doi.org/10.7759/cureus.44210 |
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