Ruptured sinus of valsalva found incidentally in a patient with tetralogy of fallot

Ali A. Mithani, Anastasios Charalanpos Polimenakos, Barbara A. Santucci

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Ruptured sinus Valsalva aneurysm (SVA) in a patient with tetralogy of Fallot is a very rare cardiac complication. This report describes the case of a 10-year-old Hispanic girl who presented to her cardiologist for a routine transthoracic echocardiography (TTE), which showed a ruptured sinus of Valsalva, with left-to-right shunting noted from the right cusp to the right ventricular outflow tract and pulmonic insufficiency. The patient underwent right and left heart catheterization with transesophageal echocardiography guidance and closure of the ruptured sinus of Valsalva with an Amplatzer muscular ventricular septal defect (VSD) device. Later that day, after the procedure, it was noted that the patient had a recurrence of continuous murmur. The TTE did not visualize the Amplatzer VSD device, and chest X-ray showed that the device had embolized to the right pulmonary artery. The device was successfully retrieved percutaneously. The patient returned 2 weeks later for surgical repair of a ruptured SVA and pulmonary valve replacement, which went well. This case report is the first to describe congenital rupture of a Valsalva aneurysm in a patient with tetralogy of Fallot. The conventional treatment for a ruptured sinus of Valsalva is surgical, although transcatheter approaches have been used increasingly in recent years.

Original languageEnglish (US)
Pages (from-to)1914-1917
Number of pages4
JournalPediatric Cardiology
Volume34
Issue number8
DOIs
StatePublished - Dec 1 2013
Externally publishedYes

Fingerprint

Sinus of Valsalva
Tetralogy of Fallot
Aneurysm
Equipment and Supplies
Ventricular Heart Septal Defects
Echocardiography
Pulmonary Valve
Transesophageal Echocardiography
Patient Rights
Cardiac Catheterization
Hispanic Americans
Pulmonary Artery
Rupture
Thorax
X-Rays
Recurrence
Lung

Keywords

  • Ruptured sinus Valsalva aneurysm
  • TEE
  • Tetralogy of Fallot
  • Transesophageal echocardiography
  • Transthoracic echocardiography
  • TTE

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

Cite this

Ruptured sinus of valsalva found incidentally in a patient with tetralogy of fallot. / Mithani, Ali A.; Polimenakos, Anastasios Charalanpos; Santucci, Barbara A.

In: Pediatric Cardiology, Vol. 34, No. 8, 01.12.2013, p. 1914-1917.

Research output: Contribution to journalArticle

@article{97aa8a9c3988422da3d538d8ff77cdfa,
title = "Ruptured sinus of valsalva found incidentally in a patient with tetralogy of fallot",
abstract = "Ruptured sinus Valsalva aneurysm (SVA) in a patient with tetralogy of Fallot is a very rare cardiac complication. This report describes the case of a 10-year-old Hispanic girl who presented to her cardiologist for a routine transthoracic echocardiography (TTE), which showed a ruptured sinus of Valsalva, with left-to-right shunting noted from the right cusp to the right ventricular outflow tract and pulmonic insufficiency. The patient underwent right and left heart catheterization with transesophageal echocardiography guidance and closure of the ruptured sinus of Valsalva with an Amplatzer muscular ventricular septal defect (VSD) device. Later that day, after the procedure, it was noted that the patient had a recurrence of continuous murmur. The TTE did not visualize the Amplatzer VSD device, and chest X-ray showed that the device had embolized to the right pulmonary artery. The device was successfully retrieved percutaneously. The patient returned 2 weeks later for surgical repair of a ruptured SVA and pulmonary valve replacement, which went well. This case report is the first to describe congenital rupture of a Valsalva aneurysm in a patient with tetralogy of Fallot. The conventional treatment for a ruptured sinus of Valsalva is surgical, although transcatheter approaches have been used increasingly in recent years.",
keywords = "Ruptured sinus Valsalva aneurysm, TEE, Tetralogy of Fallot, Transesophageal echocardiography, Transthoracic echocardiography, TTE",
author = "Mithani, {Ali A.} and Polimenakos, {Anastasios Charalanpos} and Santucci, {Barbara A.}",
year = "2013",
month = "12",
day = "1",
doi = "10.1007/s00246-012-0457-7",
language = "English (US)",
volume = "34",
pages = "1914--1917",
journal = "Pediatric Cardiology",
issn = "0172-0643",
publisher = "Springer New York",
number = "8",

}

TY - JOUR

T1 - Ruptured sinus of valsalva found incidentally in a patient with tetralogy of fallot

AU - Mithani, Ali A.

AU - Polimenakos, Anastasios Charalanpos

AU - Santucci, Barbara A.

PY - 2013/12/1

Y1 - 2013/12/1

N2 - Ruptured sinus Valsalva aneurysm (SVA) in a patient with tetralogy of Fallot is a very rare cardiac complication. This report describes the case of a 10-year-old Hispanic girl who presented to her cardiologist for a routine transthoracic echocardiography (TTE), which showed a ruptured sinus of Valsalva, with left-to-right shunting noted from the right cusp to the right ventricular outflow tract and pulmonic insufficiency. The patient underwent right and left heart catheterization with transesophageal echocardiography guidance and closure of the ruptured sinus of Valsalva with an Amplatzer muscular ventricular septal defect (VSD) device. Later that day, after the procedure, it was noted that the patient had a recurrence of continuous murmur. The TTE did not visualize the Amplatzer VSD device, and chest X-ray showed that the device had embolized to the right pulmonary artery. The device was successfully retrieved percutaneously. The patient returned 2 weeks later for surgical repair of a ruptured SVA and pulmonary valve replacement, which went well. This case report is the first to describe congenital rupture of a Valsalva aneurysm in a patient with tetralogy of Fallot. The conventional treatment for a ruptured sinus of Valsalva is surgical, although transcatheter approaches have been used increasingly in recent years.

AB - Ruptured sinus Valsalva aneurysm (SVA) in a patient with tetralogy of Fallot is a very rare cardiac complication. This report describes the case of a 10-year-old Hispanic girl who presented to her cardiologist for a routine transthoracic echocardiography (TTE), which showed a ruptured sinus of Valsalva, with left-to-right shunting noted from the right cusp to the right ventricular outflow tract and pulmonic insufficiency. The patient underwent right and left heart catheterization with transesophageal echocardiography guidance and closure of the ruptured sinus of Valsalva with an Amplatzer muscular ventricular septal defect (VSD) device. Later that day, after the procedure, it was noted that the patient had a recurrence of continuous murmur. The TTE did not visualize the Amplatzer VSD device, and chest X-ray showed that the device had embolized to the right pulmonary artery. The device was successfully retrieved percutaneously. The patient returned 2 weeks later for surgical repair of a ruptured SVA and pulmonary valve replacement, which went well. This case report is the first to describe congenital rupture of a Valsalva aneurysm in a patient with tetralogy of Fallot. The conventional treatment for a ruptured sinus of Valsalva is surgical, although transcatheter approaches have been used increasingly in recent years.

KW - Ruptured sinus Valsalva aneurysm

KW - TEE

KW - Tetralogy of Fallot

KW - Transesophageal echocardiography

KW - Transthoracic echocardiography

KW - TTE

UR - http://www.scopus.com/inward/record.url?scp=84889595403&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84889595403&partnerID=8YFLogxK

U2 - 10.1007/s00246-012-0457-7

DO - 10.1007/s00246-012-0457-7

M3 - Article

C2 - 22903680

AN - SCOPUS:84889595403

VL - 34

SP - 1914

EP - 1917

JO - Pediatric Cardiology

JF - Pediatric Cardiology

SN - 0172-0643

IS - 8

ER -