Very late recurrence of sinus of Valsalva aneurysm rupture after patch repair

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• 作者：Ting-Tse Lin (1)
  Hsiao-En Tsai (2)
  Lin Lin (1)
  Tsung-Yan Chen (2)
  Cheng-Pin Lee (1)
  Chih-Chen Wu (1)
  
  1. Division of Cardiology ; Department of Internal Medicine ; National Taiwan University College of Medicine and Hospital Hsin-Chu Branch ; No.25 ; Ln. 442 ; Sec. 1 ; Jingguo Rd. ; North Dist ; Hsinchu City ; 300 ; Taiwan
  2. Department of Surgery ; National Taiwan University College of Medicine and Hospital Hsin-Chu Branch ; Hsin-Chu City ; Taiwan
  
• 关键词：Ruptured Sinus of Valsalva aneurysm ; Patch repair ; Left ; to ; right shunt
• 刊名：BMC Surgery
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：14
• 期：1
• 全文大小：2,462 KB
• 参考文献：1. Wang, KY, St John Sutton, M, Ho, HY, Ting, CT (1997) Congenital sinus of Valsalva aneurysm: a multiplane transesophageal echocardiographic experience. J Am Soc Echocardiogr 10: pp. 956-963 CrossRef
  2. Meier, JH, Seward, JB, Miller, FA, Oh, JK, Enriquez-Sarano, M (1998) Aneurysms in the left ventricular outflow tract: clinical presentation, causes, and echocardiographic features. J Am Soc Echocardiogr 11: pp. 729-745 CrossRef
  3. Chu, SH, Hung, CR, How, SS, Chang, H, Wang, SS, Tsai, CH, Liau, CS, Tseng, CD, Tseng, YZ, Lee, YT, Lien, WP, Lue, HC, Lin, TY (1990) Ruptured aneurysms of the sinus of Valsalva in Oriental patients. J Thorac Cardiovasc Surg 99: pp. 288-298
  4. van Son, JA, Danielson, GK, Schaff, HV, Orszulak, TA, Edwards, WD, Seward, JB (1994) Long-term outcome of surgical repair of ruptured sinus of Valsalva aneurysm. Circulation 90: pp. II20-II29
  5. Moustafa, S, Mookadam, F, Cooper, L, Adam, G, Zehr, K, Stulak, J, Holmes, D (2007) Sinus of Valsalva aneurysms鈥?7聽years of a single center experience and systematic overview of published reports. Am J Cardiol 99: pp. 1159-1164 CrossRef
  6. The pre-publication history for this paper can be accessed here: http://www.biomedcentral.com/1471-2482/14/73/prepub
  
• 刊物主题：Surgery; Internal Medicine;
• 出版者：BioMed Central
• ISSN：1471-2482

文摘

Background Sinus of Valsalva aneurysm (SVA) is an uncommon cardiac defect accounting for only 1% of congenital cardiac anomalies and the most common complication is ruptured into the atrium or ventricle. Very late recurrence of ruptured SVA after patch repair is extremely rare. Case presentation We present a case of 57-year-old man had received repair for ruptured Sinus of Valsalva aneurysm at 19 ages. In the clinics, he presented with exertional dyspnea and leg swelling. The serial examination disclosed he had bicuspid aortic valve and very late rupture of SVA connecting to right atrium. After surgical repair again, he was discharged smoothly. Conclusion A very late recurrence of ruptured SVA after surgical repair was rare. We reported a case with unique echocardiographic presentation and a successful repair.