Aneurisma del seno de Valsalva roto hacia aurícula derecha en el adulto: a propósito de un caso

Jean Pierre Carrión-Arcela; Piero Custodio - Sánchez; Zoila  Rodríguez  Urteaga; Carlomagno Ríos Vásquez

doi:10.47487/apcyccv.v2i1.106

Authors

Jean Pierre Carrión-Arcela Servicio de Cardiología, Hospital Nacional Almanzor Aguinaga Asenjo, Chiclayo, Perú https://orcid.org/0000-0003-4185-2499
Piero Custodio - Sánchez Servicio de Cardiología, Hospital Nacional Almanzor Aguinaga Asenjo, Chiclayo, Perú https://orcid.org/0000-0003-4215-7682
Zoila Rodríguez Urteaga Servicio de Imagen Cardiaca, Instituto Nacional del Corazón, Lima. Perú https://orcid.org/0000-0002-6565-8917
Carlomagno Ríos Vásquez Servicio de Cardiología, Hospital Nacional Almanzor Aguinaga Asenjo, Chiclayo, Perú

DOI:

https://doi.org/10.47487/apcyccv.v2i1.106

Keywords:

Heart failure, Congenital heart disease, Sinus of Valsalva

Abstract

Rupture of a Valsalva aneurysm in the adult is extremely rare and is often complicated by acute heart failure. We present the case of a 39-year-old patient with a non-coronary sinus of Valsalva aneurysm complicated by rupture to the right atrium associated with severe aortic regurgitation and moderate tricuspid regurgitation. The treatment was surgical and was based on the repair with a pericardial patch over the aneurysm, aortic valve replacement, and tricuspid plasty. We emphasize the importance of an early diagnosis and timely surgical treatment due to the high associated mortality.

Downloads

Download data is not yet available.

References

Laura A. Torrico-Dávila. Tratamiento quirúrgico de los aneurismas del seno de valsalva. Cir Cardiov. 2019;26(5):223–228. Disponible en : https://doi.org/10.1016/j.circv.2019.09.001

Wingo M, de Angelis P, Worku BM, et al. Sinus of Valsalva aneurysm repairs: Operative technique and lessons learned. J Card Surg. 2019 Jun; 34(6):400-403. DOI: 10.1111/jocs.14041..

Xin-Jin L, Xuan L, Bo P, et al. Modified Sakakibara classification system for ruptured sinus of Valsalva aneurysm. J Thorac Cardiovasc Surg 2013;146: 874–8. Disponible en: https://doi.org/10.1016/j.jtcvs.2012.12.059

González Nicolás, Schlack Emilia, Flores Pablo. Aneurisma del seno de valsalva: presentación de tres casos. Rev Chil Cardiol. 2016; 35(3): 249-254. Disponible en: http://dx.doi.org/10.4067/S0718-85602016000300006.

Yadav A, Mathur R, Devgarha S, et al. Surgery for ruptured sinusof Valsalva aneurysm: Five-year experience with 19 patients. Turk Gogus KalpDama. 2014;22:729–33. DOI : 10.5606/tgkdc.dergisi.2014.10093

Carlos Alva C y César Vázquez. Aneurisma congénito del seno de Valsalva. Rev Mex Cardiol 2010; 21 (3): 104-110. Disponible en: https://www.medigraphic.com/pdfs/cardio/h-2010/h103b.pdf

Wang KY, Sutton MSJ, Ho HY. Congenital sinus of Valsalva aneurysm: a multiplane transesophageal echocardiographic experience. J Am Soc Echocardiogr. 1997;10:956–963. DOI: 10.1016/s0894-7317(97)80012-0

Phatarpekar A, Phadke M, Lanjewar C, Kerkar P. Is the sac waiting to rupture? Sinus of Valsalva aneurysm. Aorta (Stamford). 2016;4:105–7.5. DOI: 10.12945/j.aorta.2016.15.027

Al-Senaidi K, al-Farqani A, Maddali M. Transcatheter closure of ruptured sinus of Valsalva aneurysm. Report of two cases. Sultan Qaboos UnivMed J. 2016;16. E511-e515.6. DOI: 10.18295/squmj.2016.16.04.020

Kai Yang y Col. Safety and efficacy of percutaneous closure of ruptured sinus of Valsalva aneurysm. EuroIntervention 2018; 14:e1288-e1294. DOI: 10.4244/EIJ-D-18-00294