Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Dadana, Sriharsha, Kondapalli, Anusha, Madhwani, Vipul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
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
_version_ 1785111624739192832
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
work_keys_str_mv AT dadanasriharsha acaseofsinusofvalsalvaaneurysmrupturecausingcardiogenicshock
AT kondapallianusha acaseofsinusofvalsalvaaneurysmrupturecausingcardiogenicshock
AT madhwanivipul acaseofsinusofvalsalvaaneurysmrupturecausingcardiogenicshock
AT dadanasriharsha caseofsinusofvalsalvaaneurysmrupturecausingcardiogenicshock
AT kondapallianusha caseofsinusofvalsalvaaneurysmrupturecausingcardiogenicshock
AT madhwanivipul caseofsinusofvalsalvaaneurysmrupturecausingcardiogenicshock