Presentación atípica de rotura de seno de Valsalva derecho aneurismático con insuficiencia aortica severa

Miguel Ángel Serrano-Sánchez; Alfredo Sotomayor-Estrada; W Samir Cubas

doi:10.47487/apcyccv.v4i2.284

Authors

Miguel Ángel Serrano-Sánchez Servicio de Cirugía de Tórax y Cardiovascular, Hospital Nacional Hipólito Unanue, Lima, Perú. https://orcid.org/0000-0002-5997-4315
Alfredo Sotomayor-Estrada Servicio de Cirugía de Tórax y Cardiovascular, Hospital Nacional Hipólito Unanue, Lima, Perú. https://orcid.org/0000-0001-9524-2480
W Samir Cubas Departamento de Cirugía Torácica y Cardiovascular, Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú. https://orcid.org/0000-0002-5380-7372

DOI:

https://doi.org/10.47487/apcyccv.v4i2.284

Keywords:

SInus of Valsalva, Heart Septal Defects, Ventricular, Aortic Valve Insufficiency

Abstract

Aneurysm of the Sinus of Valsalva (ASV) is a rare abnormality and affects less than 0.1% of the general population. We describe the case of a 37-year-old woman with a clinical presentation characterized by dyspnea, palpitations, and syncope of 6 years of evolution. The echocardiographic study revealed a right ASV with a sub pulmonary interventricular perforation of 8mm and producing a regurgitant jet into the right ventricle, causing dilatation of the right ventricular outflow tract, pulmonary artery, and severe aortic insufficiency Carpentier ID. The patient underwent successful repair of the defect and interventricular perforation, and valve replacement was not necessary. Timely echocardiographic diagnosis and early surgery are the main predictors that make the difference between an excellent outcome and certain death.

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