Key result
Two-dimensional echocardiography successfully visualized a ruptured right sinus of Valsalva aneurysm protruding into the right ventricular outflow tract, which resolved after surgical closure.
Case Report (n=1)
No
This case report demonstrates the capability of two-dimensional echocardiography to accurately visualize a ruptured sinus of Valsalva aneurysm in real-time.
May aid diagnosis of ruptured sinus of Valsalva aneurysm; hypothesis-generating and should not yet change practice.
A two-dimensional echocardiographic manifestation of a ruptured right sinus of Valsalva aneurysm is described in this case report. The ultrasono-cardiotomograms demonstrated the aneurysm cut longitudinally and protruding into the outflow tract of the right ventricle. The configuration of the aneurysm was consistent with the contrast medium-filled sinus demonstrated by angiocardiography. In systole, the aneurysmal sinus moved anteroinferiorly together with the aortic wall. The echocardiogram revealed an abnormal two-layered horizontal echo in the right ventricle which showed the aneurysm when the ultrasonic beam passed through the interventricular septum near the aortic root and mitral leaflets. During the operation, the protruding sinus and a small interventricular septal defect in the membranous septum under it were observed through the opened right ventricle. After the closure of the aneurysm, the two-dimensional echocardiogram no longer showed an abnormal configuration.
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Nishimura et al. (1976) conducted a case report in Ruptured right sinus of Valsalva aneurysm (n=1). High speed ultrasono-cardiotomography (two-dimensional echocardiography) was evaluated. Two-dimensional echocardiography successfully visualized a ruptured right sinus of Valsalva aneurysm protruding into the right ventricular outflow tract, which resolved after surgical closure.
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