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Cardiac Arrest during Exercise; Rupture of the Sinus of Valsalva with Dissection into the Interventricular Septum
Author(s) -
Yoo Seung Jin,
Shin DaeHee,
Kim Eun Jung,
Lee Je Hoon,
Oh Kwang Hoon,
Choi Kyu Un
Publication year - 2014
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12423
Subject(s) - interventricular septum , medicine , cardiology , dissection (medical) , regurgitation (circulation) , sinus (botany) , aortic dissection , heart septum , ventricular outflow tract , radiology , aorta , ventricle , botany , biology , genus
Mini‐Abstract We report the case of a healthy 26‐year‐old man with rupture of the sinus of Valsalva with dissection into the interventricular septum presented as ventricular fibrillation. Echocardiography showed precisely the ruptured site initiated from the right coronary cusp into the interventricular septal wall. That made a false cavity in the septum without outlet. There was moderate aortic regurgitation, but no significant dynamic left ventricular outflow tract obstruction. This finding was confirmed on chest computed tomography scan.