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Delineation of Anatomy of the Ruptured Sinus of Valsalva with Three‐Dimensional Echocardiography: The Advantage of the Added Dimension
Author(s) -
Chandra Sharad,
Vijay Sudarshan Kumar,
Dwivedi Sudhanshu Kumar,
Saran Ram Kirti
Publication year - 2012
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/j.1540-8175.2011.01652.x
Subject(s) - medicine , infective endocarditis , ventricle , transthoracic echocardiogram , sinus (botany) , coronary sinus , cardiology , endocarditis , aneurysm , transesophageal echocardiogram , bicuspid aortic valve , radiology , cardiac catheterization , right atrium , aortic valve , botany , biology , genus
The rupture of sinus of Valsalva is a rare complication of infective endocarditis. Three‐dimensional (3D) echocardiography represents an important adjunctive tool to demonstrate the ruptured sinus of Valsalva with better delineation of its characteristics. We present an adult patient with rupture of right sinus of Valsalva aneurysm due to infective endocarditis of the aortic valve, in whom the two‐dimensional (2D) transthoracic echocardiogram erroneously localized the site of rupture into the right atrium. Whereas, 3D transthoracic echocardiogram accurately delineated the site of rupture into the right ventricle and it was confirmed on subsequent cardiac catheterization and angiogram. In addition, 3D echocardiography clearly showed the size and shape of the defect, which helped in successful transcatheter closure of the defect with amplatzer duct occluder device. (Echocardiography 2012;29:E148‐E151)