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Aneurysms of Aortic Sinus of Valsalva Dissecting through the Interventricular Septum With Rupture into the Left Ventricle: Case Series and Literature Review.
- Source :
-
World journal for pediatric & congenital heart surgery [World J Pediatr Congenit Heart Surg] 2024 May; Vol. 15 (3), pp. 340-348. Date of Electronic Publication: 2024 Apr 22. - Publication Year :
- 2024
-
Abstract
- Aneurysm of Aortic sinus of Valsalva (ASOV) dissecting into the interventricular septum (IVS) and rupturing into the left ventricle (LV) is a rare clinical diagnosis. Systemic inflammatory diseases like tuberculosis can aggravate this condition. We describe three cases of ASOV dissecting into the IVS and rupturing into the LV. All three patients underwent surgical intervention; two had a successful outcome. A literature review was conducted and19 previously reported cases were studied. The extent and direction of septal dissection determined the associated cardiac valvular and rhythm problems. Patch closure of the mouth of the aneurysm is the surgical method of choice. In the presence of multiple sinus tracts or if there is recurrence after surgical closure, aortic sinus or root replacement techniques have better outcomes.
- Subjects :
- Humans
Male
Aortic Dissection surgery
Aortic Dissection complications
Aortic Dissection diagnosis
Female
Heart Ventricles surgery
Aortic Aneurysm surgery
Aortic Aneurysm diagnostic imaging
Aortic Aneurysm complications
Aortic Rupture surgery
Aortic Rupture complications
Echocardiography
Cardiac Surgical Procedures methods
Child
Sinus of Valsalva surgery
Sinus of Valsalva diagnostic imaging
Ventricular Septum surgery
Subjects
Details
- Language :
- English
- ISSN :
- 2150-136X
- Volume :
- 15
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- World journal for pediatric & congenital heart surgery
- Publication Type :
- Academic Journal
- Accession number :
- 38646718
- Full Text :
- https://doi.org/10.1177/21501351241241322