• Am J Emerg Med · Nov 2021

    Case Reports

    Ruptured sinus of Valsalva aneurysm: An uncommon presentation of shock to the pediatric emergency department.

    • Samantha Stringer, Wendi-Jo Wendt, Arash Salavitabar, and Alexander Rogers.
    • University of Michigan Hospital, Emergency Department, Ann Arbor, MI 48109, United States; C.S. Mott Children's Hospital, University of Michigan, Emergency Department, Ann Arbor, MI 48109, United States. Electronic address: stringes@med.umich.edu.
    • Am J Emerg Med. 2021 Nov 1; 49: 80-82.

    AbstractThis case report describes a rare etiology of cardiogenic shock, particularly in the pediatric population. A healthy 17 year old male presents from an outside hospital in undifferentiated shock requiring vasopressor support. Ruptured sinus of Valsalva aneurysm was diagnosed by echocardiogram and the patient went emergently to the operating room for surgical repair. We discuss the anatomy, incidence, and risk factors for sinus of Valsalva aneurysms, along with the range of clinical presentations and Emergency Department management of symptomatic rupture of sinus of Valsalva aneurysms.Copyright © 2021 Elsevier Inc. All rights reserved.

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