2005, Number 2
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Arch Cardiol Mex 2005; 75 (2)
Unruptured sinus of Valsalva aneurysm. bi and three-dimensional echocardiography approach
Vázquez-Antona CA, Erdmenger OJ, Javier RF, Romero-Cárdenas Á, Vargas-Barrón J
Language: Spanish
References: 20
Page: 148-153
PDF size: 120.41 Kb.
ABSTRACT
Aneurysm of the sinus of Valsalva is a rare anomaly that can be congenital or acquire. The most common among the acquire is aortic endocarditis. At the present time echocardiography has be come the election diagnostic method. We present two pediatric patients with unrupture aneurysm of the sinus of Valsalva and cardiac failure secondary to a acute aortic insufficiency manifestations. Transthoracic and transesophageal bidimensional images were compared, in one of them also three-dimensional image. Assessing the quality of images, localization and anatomical morphology of aneurysm, obstruction or compression and presence of associated defects. The usefulness of the three dimensional echocardiography assessment for these congenital malformations is demonstrated.
REFERENCES
Anderson RH, Macartney FJ, Shinebourne EA, Tynan M, Bus A: The child with a continuous murmur. In: Anderson RH, Macartney FJ, Shinebourne EA, Tinan M, eds. Paediatric Cardiology, Edinburg: Churchill, Livingstone, 1987; 2: 1001-1022.
De Castro E, Yao J, Pandian NG: Three-dimensional echocardiography: clinical relevance and application. Am J Cardiol 1998; 81: 1998; 81(12A): 96G-102G.
Edwards JE, Burchell MB: Specimen exhibiting the essential lesion in aneurysm of the aortic sinus. Proc Mayo Clinic 1956; 31: 407-412.
Sakakibara S, Konno S: Congenital aneurysm of the sinus of Valsalva. Anatomy and classification. Am Heart J 1962; 63: 405-424.
Kiefaber RW, Tabakin BS, Coffin LH, Gibson TC: Unruptured sinus of Valsalva aneurysm with right ventricular outflow obstruction diagnosed by two-dimensional and Doppler echocardiography. J Am Coll Cardiol 1986; 7: 438-442.
Tomita T, Hanaoka T, Owa M: Unruptured aneurysm of the sinus of Valsalva obstructing the right ventricular outflow: magnetic resonance imaging findings. Heart 2002; 88: 42-43.
Pepper C, Munsc C, Sivananthan UM, Pye M: Unruptured aneurysm of the left sinus of Valsalva extending into the left ventricular outflow tract: presentation and imaging. Heart 1998; 80: 190-193.
Lijoi A, Parodi E, Passerone GC, Scarano F, Caruso D, Iannetti MV: Unruptured aneurysm of the left sinus of Valsalva causing coronary insufficiency: case report and review of the literature. Tex Heart Inst J 2002; 29: 40-44.
Shah RP, Ding AS, Quek SS: A ten-year review of ruptured sinus of Valsalva: Clinico-Pathological and echo-Doppler Features. Singapore Med J 2001; 42: 473-476.
Htsukui J: Giant extracardiac unruptured aneurysm of the sinus of Valsalva: a case report. Heart Vessels 2000; 15: 289-290.
Banerjee S, Jagasia DH: Unruptured sinus of Valsalva aneurysm in an asymptomatic patient. J Am Soc Echocardiogr 2002; 15: 668-670.
London BS, London RE: Production of aortic regurgitation by unperforated aneurysm of the sinus of Valsalva. Circulation 1961; 24: 1403-1406.
Vargas-Barrón J, Keirns C, Attie F, Gil-Moreno M, Aracil C: Congenital aneurysm of sinus of Valsalva detected by pulsed Doppler Echocardiography. Am Heart J 1986: 111; 181-184.
McKenney PA, Sheim RJ, Wiegers SE: Role of transesophageal echocardiography in sinus of Valsalva aneurysm. Am Heart J 1992; 123: 228-229.
Blackshear JL, Safford RE, Lane GE, et al: Unruptured Noncoronary Sinus of Valsalva Aneurysm: Preoperative characterization by transesophageal echocardiography. J Am Soc Echocardiogr 1991; 4: 485-90.
Lewis BS, Agathangelou NE: Echocardiographic diagnosis of unruptured sinus of Valsalva aneurysm. Am Heart J 1984; 107: 1025-1027.
Roldán FJ, Vargas-Barrón J: La ecocardiografía tridimensional en el diagnóstico de las cardiopatías. Arch Card Mex 2002; 72: S182-S186.
Steinberg E, Wun H, Bosco J, Kronzon I: Spontaneous echocardiographic contrast within an unruptured sinus of Valsalva aneurysm: a potential embolic source diagnosed by transesophageal echocardiography. J Am Soc Echocardiogr 1996; 9: 880-882.
Stollberg C, Seitelberger R, Christof F, Prainer C, Slany J: Aneurysm of the left sinus of Valsalva: An unusual source of cerebral embolism. Stroke 1996; 27: 1424-1426.
Howard RJ, Moller J, Castaneda A, Varco R, Nicoloff D: Surgical correction of sinus of Valsalva aneurysm. J Thorac Card Surg 1973; 66: 420-427.