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Cardiac Tamponade Due to a Ruptured Aneurysm of the Sinus of Valsalva
Author(s) -
Weijerse Arjan,
Van Der Schoot Marjolijn J.T.,
Maat Lex .P.W.M.,
Bruning Tobias A.,
Geleijnse Marcel L.,
Bogers Ad J.J.C.
Publication year - 2008
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2007.00520.x
Subject(s) - medicine , cardiac tamponade , intracardiac injection , aneurysm , extracorporeal circulation , tamponade , sinus (botany) , shunting , surgery , cardiology , cardiac surgery , botany , biology , genus
Background and Aim: A sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly. Rupture of a SVA often causes hemodynamic instability due to intracardiac shunting or cardiac tamponade, therefore immediate diagnosis and urgent treatment are required. Methods: We report an 18‐year‐old female with cardiac tamponade due to rupture of a localized aneurysm of the right coronary sinus of Valsalva. No other congenital or acquired cardiac anomalies were found. Neurological observation precluded urgent surgery with heparinization and extracorporeal circulation. Results : Semi‐urgently the SVA was successfully resected. Conclusions: Semi‐urgent surgery for a ruptured aneurysm of the Sinus of Valsalva was successful. In selected cases off pump surgery can be contemplated.