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  • Title: Cardiac tamponade due to a ruptured aneurysm of the sinus of valsalva.
    Author: Weijerse A, van der Schoot MJ, Maat LP, Bruning TA, Geleijnse ML, Bogers AJ.
    Journal: J Card Surg; 2008; 23(3):256-8. PubMed ID: 18435644.
    Abstract:
    BACKGROUND AND AIM: A sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly. Rupture of a SVA often causes hemodynamic instability due to intracardiac shunting or cardiac tamponade, therefore immediate diagnosis and urgent treatment are required. METHODS: We report an 18-year-old female with cardiac tamponade due to rupture of a localized aneurysm of the right coronary sinus of Valsalva. No other congenital or acquired cardiac anomalies were found. Neurological observation precluded urgent surgery with heparinization and extracorporeal circulation. RESULTS: Semi-urgently the SVA was successfully resected. CONCLUSIONS: Semi-urgent surgery for a ruptured aneurysm of the Sinus of Valsalva was successful. In selected cases off pump surgery can be contemplated.
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