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  • Title: [Ruptured and reruptured sinus of Valsalva aneurysm].
    Author: Szuromi P, Hejjel L, Tóth L, Ajtay Z, Papp L.
    Journal: Magy Seb; 2006 Apr; 59(2):133-5. PubMed ID: 16784038.
    Abstract:
    Aneurysm of the sinus of Valsalva (SVA) is a rare condition of the aorta. It progrediates slowly and can be hidden for a long time, but during its development it may cause various symptoms due to compression. Rupture of the aneurysm can result in acute heart failure necessitating an urgent operative treatment. We operated on a patient with symptoms of acute heart failure, grade III-IV tricuspid insufficiency, loud systolo-diastolic murmur and an extremely high calculated right ventricular pressure. The echocardiography discovered the rupture of the non-coronary sinus of Valsalva shunting to the right ventricle. During the operation we removed the aneurysm sac, and closed the hole directly with running sutures. The involved non-coronary cusp ruptured in the early postoperative course, so an acute reoperation was performed, during which we decided to replace the valve. We must take into account the rupture of SVA in the presence of above symptoms and consider valve replacement instead of repair regarding to the delicate valve apparatus.
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