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A giant aneurysm of noncoronary sinus of Valsalva concomitant with aortic regurgitation and mitral regurgitation
Author(s) -
Luo Yi,
Fang Zhi,
Meng Wei
Publication year - 2017
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.13503
Subject(s) - medicine , asymptomatic , regurgitation (circulation) , cardiology , chest pain , sinus (botany) , mitral regurgitation , radiology , autopsy , aneurysm , mitral valve prolapse , aortic sinus , magnetic resonance imaging , mitral valve , aorta , botany , biology , genus
Aneurysms of the sinus of Valsalva ( ASV ) are rare, with an incidence ranging from 0.1% to 3.5% of all congenital cardiac defects and a prevalence of 0.009% in an autopsy series.[1][Feldman DN, 2006] ASV s occur much more frequently in the right coronary sinus of Valsalva.[2][Meier JH, 1998] Previous reports, based on necropsy and cardiac surgery findings, estimated that 20% of ASV s are unruptured.[3][Fishbein MC, 1975] Patients with an unruptured ASV may remain asymptomatic for a long period of time until rupture. They may also presented with dyspnea, palpitation, and angina‐like chest pain.[1][Feldman DN, 2006] Aortic insufficiency in the patients with unruptured ASV s is common, and other valvular lesions can be observed in these patients as well. Echocardiography, as a noninvasive and portable tool, is widely used to detect ASV s. Additionally, computed tomography and cardiac magnetic resonance imaging, alone or in combination, can provide precise information about its anatomic extension and intrinsic characteristics of the pathology.