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Tag Archives: aneurysm

Giant aortic sinus fistula

December 2013 Br J Cardiol 2013;20:156 doi:10.5837/bjc.2013.35

Giant aortic sinus fistula

Jason M Tarkin, Waleed Arshad, Arvinder Kurbaan, Timothy J Bowker, Han B Xiao

Abstract

Echocardiography showed a right coronary (anterior) aortic sinus aneurysm protruding into the right ventricle with a large (1.5 cm) fistula (figure 1). Biventricular size and function was normal; there were no other structural cardiac defects or evidence of infective endocarditis seen. Percutaneous device closure was not possible due to the large size of the aneurysm. He underwent cardiac surgery. There was a right coronary (anterior) aortic sinus aneurysm, which had ruptured into the right ventricle. Patch closure with bovine pericardium and aortic valve replacement with a 25 mm St. Jude Regentâ„¢ mechanical valve were Figure 1. Echocardiogr

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November 2007 Br J Cardiol 2007;14:265

Aneurysm of the sinus of Valsalva

Jonathan M Behar, Thomas R Burchell, Ben Adeyemi, Fiona Myint

Abstract

Figure 1. Parasternal long axis two-dimensional echocardiogram, showing a 6.6 cm aneurysm of the sinus of valsalva (right coronary sinus) Aneurysms of the sinus of valsalva are rare and almost always originate from the right or non coronary sinuses. Unruptured, they normally remain clinically silent (detected by routine echocardiography) but can cause right ventricular outflow tract obstruction, aortic regurgitation and myocardial ischaemia from coronary artery compression. Rupture of these aneurysms can occur into any adjacent cardiac chamber and the clinical presentation may vary according to the location of this rupture. The definitive man

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