Cargando…

Contained rupture of a sinus of Valsalva aneurysm: Is it just a matter of luck?

BACKGROUND: Contained rupture of the ascending aorta is a rare condition, but the severity of this complication enforces strict guidelines for its prevention and a prompt diagnosis, once already occurred. CASE PRESENTATION: A 66-year-old man with a history of type 2 diabetes, longstanding aortic val...

Descripción completa

Detalles Bibliográficos
Autores principales: Vigano, Giorgio, Vliegenthart, Rozemarijn, Pollack, Daniël K. M., Mariani, Massimo A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8962174/
https://www.ncbi.nlm.nih.gov/pubmed/35346282
http://dx.doi.org/10.1186/s13019-022-01800-2
_version_ 1784677740526436352
author Vigano, Giorgio
Vliegenthart, Rozemarijn
Pollack, Daniël K. M.
Mariani, Massimo A.
author_facet Vigano, Giorgio
Vliegenthart, Rozemarijn
Pollack, Daniël K. M.
Mariani, Massimo A.
author_sort Vigano, Giorgio
collection PubMed
description BACKGROUND: Contained rupture of the ascending aorta is a rare condition, but the severity of this complication enforces strict guidelines for its prevention and a prompt diagnosis, once already occurred. CASE PRESENTATION: A 66-year-old man with a history of type 2 diabetes, longstanding aortic valve stenosis and aortic root aneurysm of 47 mm was hospital admitted for elective surgery. A Bentall-De Bono procedure was performed in order to replace the stenotic bicuspid aortic valve and exclude the dilated portion of the aortic wall. Intraoperatively, a discontinuity of the aortic wall, just above the aortic annulus, at the non-coronary sinus of Valsalva was incidentally observed. The aortic wall discontinuity was none other than a contained aortic rupture. The preoperative CT-scan images were afterwards analyzed by the radiologist, in order to identify the contained aortic rupture. Indeed a false aneurysm of the non-coronary sinus of Valsalva of a maximum diameter of 15 mm was detected, thanks to a 3D reconstruction. CONCLUSIONS: The diagnosis of contained aortic rupture is certainly demanding, particularly in absence of signs or symptoms of rupture in a chamber of the heart or in the pericardium. Although this case represents a consensus of experts’ opinion, the recognition of these specific cases in which the risk of dissection, rupture or death is at its highest, would allow to operate at the appropriate time, improving the outcomes.
format Online
Article
Text
id pubmed-8962174
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-89621742022-03-30 Contained rupture of a sinus of Valsalva aneurysm: Is it just a matter of luck? Vigano, Giorgio Vliegenthart, Rozemarijn Pollack, Daniël K. M. Mariani, Massimo A. J Cardiothorac Surg Case Report BACKGROUND: Contained rupture of the ascending aorta is a rare condition, but the severity of this complication enforces strict guidelines for its prevention and a prompt diagnosis, once already occurred. CASE PRESENTATION: A 66-year-old man with a history of type 2 diabetes, longstanding aortic valve stenosis and aortic root aneurysm of 47 mm was hospital admitted for elective surgery. A Bentall-De Bono procedure was performed in order to replace the stenotic bicuspid aortic valve and exclude the dilated portion of the aortic wall. Intraoperatively, a discontinuity of the aortic wall, just above the aortic annulus, at the non-coronary sinus of Valsalva was incidentally observed. The aortic wall discontinuity was none other than a contained aortic rupture. The preoperative CT-scan images were afterwards analyzed by the radiologist, in order to identify the contained aortic rupture. Indeed a false aneurysm of the non-coronary sinus of Valsalva of a maximum diameter of 15 mm was detected, thanks to a 3D reconstruction. CONCLUSIONS: The diagnosis of contained aortic rupture is certainly demanding, particularly in absence of signs or symptoms of rupture in a chamber of the heart or in the pericardium. Although this case represents a consensus of experts’ opinion, the recognition of these specific cases in which the risk of dissection, rupture or death is at its highest, would allow to operate at the appropriate time, improving the outcomes. BioMed Central 2022-03-28 /pmc/articles/PMC8962174/ /pubmed/35346282 http://dx.doi.org/10.1186/s13019-022-01800-2 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Vigano, Giorgio
Vliegenthart, Rozemarijn
Pollack, Daniël K. M.
Mariani, Massimo A.
Contained rupture of a sinus of Valsalva aneurysm: Is it just a matter of luck?
title Contained rupture of a sinus of Valsalva aneurysm: Is it just a matter of luck?
title_full Contained rupture of a sinus of Valsalva aneurysm: Is it just a matter of luck?
title_fullStr Contained rupture of a sinus of Valsalva aneurysm: Is it just a matter of luck?
title_full_unstemmed Contained rupture of a sinus of Valsalva aneurysm: Is it just a matter of luck?
title_short Contained rupture of a sinus of Valsalva aneurysm: Is it just a matter of luck?
title_sort contained rupture of a sinus of valsalva aneurysm: is it just a matter of luck?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8962174/
https://www.ncbi.nlm.nih.gov/pubmed/35346282
http://dx.doi.org/10.1186/s13019-022-01800-2
work_keys_str_mv AT viganogiorgio containedruptureofasinusofvalsalvaaneurysmisitjustamatterofluck
AT vliegenthartrozemarijn containedruptureofasinusofvalsalvaaneurysmisitjustamatterofluck
AT pollackdanielkm containedruptureofasinusofvalsalvaaneurysmisitjustamatterofluck
AT marianimassimoa containedruptureofasinusofvalsalvaaneurysmisitjustamatterofluck