Sinus of Valsava aneurysm

Aneurysm of the sinus of Valsava . They constitute a rare pathology whose main complication is rupture with the generation of a short circuit to another heart chamber.

Summary

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  • 1 Diagnosis
  • 2 Treatment
    • 1 Operative indications
    • 2 Operative technique
  • 3 Source

Diagnosis

  • Continuous systodiastolic murmur at the base focus, depending on the site or cavity in which the rupture originated.
  • Electrography may be normal.
  • Bone scan

Telecardiogram: this may be normal or show increased pulmonary vascularization. Selective angiogram in the ascending aorta: this investigation allows a definitive diagnosis to be made, since it indicates the presence of the ruptured aneurysm of the Valsava sinus and the cavity in which it ruptured.

  • Right heart catechism.
  • It indicates the oxygenation gradients between the anterior cavity and the cavity in which the aneurysm of the sinus of Valsava ruptured.
  • discovers increased pressures in the cavity where the aneurysm ruptured.

Treatment

Operative indications

Unruptured sinus of Valsava aneurysm is difficult to diagnose, surgical treatment (which is indicated) will be based on the ruptured aneurysm , as soon as the diagnosis is made.

Operative technique

  • Longitudinal median stereotomy.
  • Installation of extracorporeal circulation.
  • Opening of the cardiac cavity in which the aneurysm is opened and resection of this.
  • Closure of the defect created between the aorta and the heart chamber.

 

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