Cardiac tamponade due to a ruptured aneurysm of the sinus of Valsalva

A (Arjan) Weijerse, Marjolijn Schoot, A.P.W.M. Maat, TA Bruning, Marcel Geleijnse, Ad Bogers

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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.
Original languageUndefined/Unknown
Pages (from-to)256-258
Number of pages3
JournalJournal of Cardiac Surgery
Volume23
Issue number3
DOIs
Publication statusPublished - 2008

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