Surgical correction of a congenital coronary arterial fistula and a massive sinus of Valsalva aneurysm.
نویسندگان
چکیده
The case of a 22-year old male patient who presented with a congenital coronary arterial fistula from the right coronary artery to the right ventricle is described. The arterial fistula had led to an aneurysm of the right sinus of Valsalva and the proximal right coronary artery. The aneurysm was incised from the aorta and the fistula closed with a pericardial patch. The diameter of the aneurysm was reduced by plication. Successful occlusion of the fistula and the competence of the aortic valve were confirmed by transoesophageal echocardiography.
منابع مشابه
Bicuspid Aortic Valve: An Unusual Cause of Aneurysm of Left Coronary Sinus of Valsalva
Bicuspid aortic valve is traditionally considered an innocuous congenital anomaly. Due to a better and widespread availability of non-invasive imaging techniques, it has come to the fore that 30% of these cases develop complications, viz., valve abnormality (aortic regurgitation and stenosis), and aneurysm of aortic root and ascending aorta. Sinus of Valsalva aneurysm is an uncommon complicatio...
متن کاملپارگی آنوریسم سینوس والسالوای راست به داخل بطن راست در یک خانم 30 ساله با نقص همزمان دیواره بین بطنی
Aneurysms of sinus of Valsalva are rare cardiac abnormalities. They are dilatations of the aortic sinuses and are classified as congenital or acquired. If located in the right coronary sinus they are usually ruptured into right heart chambers and frequently a ventricular septal defect coexists with this condition. This paper reports a 30-year-old woman with ruptured aneurysm of the right sinus ...
متن کاملRuptured congenital sinus of valsalva aneurysms.
BACKGROUND AND AIM OF THE STUDY Rupture of the sinus of Valsalva is rare, and there is a higher incidence of such rupture in Oriental countries than elsewhere. The objective of this study is to present the pathologic features and the clinical outcome after surgery in such patients. METHODS Between 1980 and 2001, a total of 17 patients (15 males and 2 females) with ruptured aneurysm of sinus o...
متن کاملUnruptured congenital aneurysm of the left sinus of Valsalva presenting as acute right ventricular failure.
A patient with unruptured congenital aneurysm of the left coronary sinus of Valsalva presented with acute right-sided heart failure due to right ventricular outflow tract obstruction. The mechanism for such an acute presentation may have been a sudden increase in the size of the aneurysm. The surgical importance of this lesion is the combined aortocameral approach which is seldom required for c...
متن کاملAn intramural left main coronary artery with a left sinus of valsalva aneurysm: a unique combination of congenital anomalies.
The congenital anomaly of an intramural left main coronary artery arising in the anatomically correct aortic sinus is very infrequent. Aneurysms involving the sinus of Valsalva rarely arise from the left aortic sinus. We present the clinical features and surgical correction of this rare anomaly along with a short discussion of these congenital malformations.
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عنوان ژورنال:
- Interactive cardiovascular and thoracic surgery
دوره 15 5 شماره
صفحات -
تاریخ انتشار 2012