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Case Reports
. 2014 Sep;7(3):210-2.
doi: 10.4103/0974-2069.140852.

An unusual case of rupture of left sinus of valsalva aneurysm into main pulmonary artery

Chandrashekhar Bhimrao Munjewar  1 , Rahul D Agrawal  1 , Satyavan Sharma  1
Affiliations
Case Reports

An unusual case of rupture of left sinus of valsalva aneurysm into main pulmonary artery

Chandrashekhar Bhimrao Munjewar et al. Ann Pediatr Cardiol. 2014 Sep.

Abstract

We report a case of left sinus of Valsalva aneurysm rupture into main pulmonary artery who underwent successful surgical correction. The preoperative diagnosis was facilitated by echocardiography, cardiac catheterization, and computed tomography. The benefits of surgery are sustained at 8 months on clinical and angiographic follow-up.

Keywords: Left sinus of valsalva aneurysm; rupture into main pulmonary artery; surgical correction.

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Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
(a) Echocardiography in parasternal short axis view depicts a large aneurysm arising from left sinus of Valsalva (b) Post-surgery echocardiography, in parasternal short axis view documents obliteration of the aneurysm. RA: Right atrium, RV: Right ventricle, MPA: Main pulmonary artery, RSOV: Right sinus of Valsalva, LSOV: An left sinus of Valsalva aneurysm
Figure 2
Figure 2
(a) Selective angiography in LSOV (AP view) shows opacification of pulmonary arteries across the rupture (black arrow) (b) Post-surgery angiography (AP view), reveals Dacron graft (DG) and absence of any aorto-pulmonary communication. LSOV: Left sinus of Valsalva, RPA: Right pulmonary artery, LPA: Left pulmonary artery, Asc: Ao ascending Aorta, Desc: Ao descending aorta
Figure 3
Figure 3
(a) Computed tomography (CT) chest in sagittal section demonstrates a large LSOV communicating with MPA (black arrow) (b) Post-surgery CT chest in sagittal section, shows ascending aorta Dacron graft and absence of any aorto-pulmonary communication. Asc: Ao ascending Aorta, Desc: Ao descending aorta, LSOV: An left sinus of Valsalva aneurysm, MPA: Main pulmonary artery, FC: Fistulous communication (white arrow), Ao R: aortic root
See this image and copyright information in PMC

References

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