• Rev Esp Cardiol · Oct 2001

    Case Reports

    [Transesophageal echocardiographic diagnosis of a ruptured sinus of valsalva aneurysm with right atrium fistula].

    • M E Cancho, J M Oliver, M J Fernández, M J Martínez, J M García, and M Naverrete.
    • Unidad de Cardiología del Hospital del Bierzo, Ponferrada, León. mcanchoweb@mixmail.com
    • Rev Esp Cardiol. 2001 Oct 1; 54 (10): 1236-9.

    AbstractCongenital aneurysms of the sinus of Valsalva are relatively rare, tending to be most frequent in adults. Untreated, there is a substantial risk of complication due to bacterial endocarditis and, if rupture occurs, rapid and progressive cardiac insufficiency is fatal at short term. We report the case of a 53-year-old male with a ruptured right sinus of Valsalva aneurysm, resulting in an anomalous right atrium fistula. Symptoms presented, clinical diagnosis and, above all, transesophageal echocardiography were crucial in the final diagnosis leading to an early and satisfactory surgical intervention. Catheterization and angiography were not definitive. Echocardiographic data are described and a bibliography of relevant research articles is provided.

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