Journal of Perioperative Echocardiography

Register      Login

VOLUME 7 , ISSUE 2 ( July-December, 2019 ) > List of Articles

CASE REPORT

Role of Transesophageal Echocardiography in a Case of Unruptured Sinus of Valsalva Aneurysm Causing Complete Heart Block

Rajan Anand, Debadas Bagchi, Nishita Palraj, Sai S Dharmapuri

Keywords : Complete heart block, Sinus of Valsalva aneurysm, Transesophageal echocardiography

Citation Information : Anand R, Bagchi D, Palraj N, Dharmapuri SS. Role of Transesophageal Echocardiography in a Case of Unruptured Sinus of Valsalva Aneurysm Causing Complete Heart Block. J Perioper Echocardiogr 2019; 7 (2):48-52.

DOI: 10.5005/jp-journals-10034-1107

License: CC BY-NC 4.0

Published Online: 00-12-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Sinus of Valsalva aneurysm is an uncommon disease. Rarely, the aneurysm presents with evidence of obstruction of the right ventricular outflow tract, aortic insufficiency, coronary artery compression, or conduction abnormalities in the absence of rupture. We report a case with an unruptured aneurysm of the right sinus of Valsalva extending into the interventricular septum causing complete heart block, which was managed successfully by surgery. We emphasize the rarity of this pathology and highlighting the importance of multiplane transesophageal echocardiography in its assessment, providing a complete anatomic functional characterization, allowing precise identification of structural anomalies, valve abnormalities, and cardiac function, thereby guiding appropriate surgical management.


PDF Share
  1. Ring WS. Sinus of valsalva aneurysm. In: Mavroudis C, Backer CL, ed. Pediatric cardiac surgery. 3rd ed., Philadelphia: Mosby Inc; 2003. pp. 650–659.
  2. Choudhary SK, Bhan A, Reddy SCB, et al. Aneurysm of sinus of Valsalva dissecting into interventricular septum. Ann Thorac Surg 1998;65(3):735–740. DOI: 10.1016/S0003-4975(97)01432-X.
  3. Abad C. Congenital aneurysm of the sinus of valsalva dissecting into the interventricular septum. Cardiovasc Surg 1995;3(5):563–564. DOI: 10.1016/0967-2109(95)94460-E.
  4. Xu B, Kocyigit D, Betancor J, et al. Sinus of valsalva aneurysms: a state-of-the-art imaging review. J Am Soc Ech Ocardiogr 2020;33(3):295–312. DOI: 10.1016/j.echo.2019.11.008.
  5. Svensson LG, Adams DH, Bonow RO, et al. Aortic valve and ascending aorta guidelines for management and quality measures. Ann Thorac Surg 2013;95(6):S1–S66. DOI: 10.1016/j.athoracsur.2013.01.083.
  6. Shah RP, Ding ZP, Ng AS, et al. A ten-year review of ruptured sinus of valsalva: clinico-pathological and echo-Doppler features. Singapore Med J 2001;42:473–476.
  7. Vatankulu MA, Tasal A, Erdogan E, et al. The role of three-dimensional echocardiography in diagnosis and management of ruptured sinus of valsalva aneurysm. Echocardiography 2013;30(8):260–262. DOI: 10.1111/echo.12248.
  8. Moustafa S, Mookadam F, Cooper L, et al. Sinus of valsalva aneurysms--47 years of a single center experience and systematic overview of published reports. Am J Cardiol 2007;99(8):1159–1164. DOI: 10.1016/j.amjcard.2006.11.047.
  9. Wang KY, St John Sutton M, Ho HY, et al. Congenital sinus of valsalva aneurysm: a multiplane transesophageal echocardiographic experience. J Am Soc Echocardiogr 1997;10(9):956–963. DOI: 10.1016/S0894-7317(97)80012-0.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.