Atrioventricular and interventricular groove and septal extension of right sinus of valsalva aneurysm: a rare cause of complete heart block.

نویسندگان

  • Javaid Arif Khan
  • Mushtaq Hussain
  • Nadeem H Rizvi
  • Nadeem Fehmi
  • Akhtar Hussain
  • Jawaid A Sial
چکیده

A 26 years old male presented with vertigo and history of fall. The electrocardiogram revealed 2:1 second-degree heart block and later progression to complete heart block. Transthoracic echocardiography revealed aneurysm at the site of ascending aorta and computed tomographic scan showed an aneurysm of right sinsus of Valsalva extending into right atrioventricular and interventricular groove and causing complete heart block by compression on the conduction system. He also suffered from lymph node tuberculosis. This case report is unique because of rare presentation as complete heart block.

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منابع مشابه

Calcified unruptured aneurysm of sinus of Valsalva with complete heart block and aortic regurgitation. Successful repair in one case.

SUMMARY A case is presented of a calcified aneurysm of the sinus of Valsalva extending into the interventricular septum. Complete atrioventricular block and aortic regurgitation were associated. The patient, a 37 year old black African, was successfully operated upon by patch closure of the orifice of the aneurysm, aortic valve replacement, and permanent pacemaker insertion. We report a patient...

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Unruptured aneurysm of the sinus of Valsalva presenting with isolated heart block: echocardiographic diagnosis and successful surgical repair.

A 31 year old man presented with intermittent dizziness and electrocardiographic evidence of a severe conduction disturbance, with asystolic pauses of up to six seconds, and was treated by implantation of a permanent pacemaker. Echocardiography showed an enlarging aneurysm of the right sinus of Valsalva extending into the interventricular septum. This was confirmed by aortography, and successfu...

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Un-ruptured Non-Coronary Sinus of Valsalva Aneurysm with Complete Heart Block

Sinus of Valsalva aneurysm is a rare cardiac anomaly with wide spectrum of clinical presentation ranging from asymptomatic state to dreadful complications due to compression of vital surrounding structures or aortic dissection. There are only few reported cases of sinus of Valsalva aneurysm presented with cardiac arrhythmias including complete heart block. We herein, present a case of a 50 year...

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Interventricular septal expansion of a sinus of Valsalva aneurysm: a rare cause of complete heart block.

We present the case of a 64 year old man, previously of good health, who presented in November 1995 with a short history of presyncope and one witnessed episode of syncope.On admission he was clinically in complete heart block with a ventricular rate of 40 beats/min but had a well maintained blood pressure at 150/80 mm Hg. Auscultation revealed a soft systolic murmur in the aortic area. The rem...

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Aneurysms of sinus of Valsalva eroding into the interventricular septum: etiopathology and surgical considerations.

OBJECTIVE To evaluate and discuss etiopathology, clinical manifestations and surgical outcome of a rare subset of unruptured aneurysm of the sinus of Valsalva which erodes into the interventricular septum. METHODS Between 1989 and 1995, seven cases of unruptured aneurysm of the sinus of Valsalva eroding into the interventricular septum underwent surgical correction at the King Edward VII Memo...

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عنوان ژورنال:
  • Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

دوره 23 10  شماره 

صفحات  -

تاریخ انتشار 2013