Valsava sinus aneurysm . They constitute a rare pathology whose main complication is rupture with the generation of a short circuit to another cardiac cavity.
Summary
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- 1 Diagnosis
- 2 Treatment
- 1 Operative indications
- 2 Operational technique
- 3 Source
Diagnosis
- Continuous systodiastolic murmur in the base focus, depending on the site or cavity where the rupture originated.
- Electrography may be normal.
- Bone scan
Telecardiogram: this can be normal or present increased pulmonary vascularity. Selective angiogram in the ascending aorta: this investigation allows the definitive diagnosis to be made, since it indicates the presence of the ruptured Valsava sinus aneurysm and the cavity in which it ruptured.
- Right cardiac catechism.
- It indicates the oxygenation gradients between the anterior cavity and the cavity in which the Valsava sinus aneurysm ruptured.
- discovers an increase in pressure in the cavity in which the aneurysm ruptured.
Treatment
Operative indications
Unruptured Valsava sinus 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 medial stereotomy.
- Installation of extracorporeal circulation.
- Opening of the cardiac cavity in which the aneurysm is opened and its resection.
- Closure of the defect created between the aorta and the heart chamber.
