Very late recurrence of sinus of Valsalva aneurysm rupture after patch repair

BMC Surgery

Case Report

Tsung-Yan Chen¹  Hsiao-En Tsai¹  Ting-Tse Lin²  Chih-Chen Wu²  Lin Lin²  Cheng-Pin Lee² 

[1] Department of Surgery, National Taiwan University College of Medicine and Hospital Hsin-Chu Branch, Hsin-Chu City, Taiwan;Division of Cardiology, Department of Internal Medicine, National Taiwan University College of Medicine and Hospital Hsin-Chu Branch, No.25, Ln. 442, Sec. 1, Jingguo Rd., North Dist., 300, Hsinchu City, Taiwan;

关键词: Ruptured Sinus of Valsalva aneurysm;    Patch repair;    Left-to-right shunt;   

DOI  :  10.1186/1471-2482-14-73

 received in 2014-05-31, accepted in 2014-09-23,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundSinus of Valsalva aneurysm (SVA) is an uncommon cardiac defect accounting for only 1% of congenital cardiac anomalies and the most common complication is ruptured into the atrium or ventricle. Very late recurrence of ruptured SVA after patch repair is extremely rare.Case presentationWe present a case of 57-year-old man had received repair for ruptured Sinus of Valsalva aneurysm at 19 ages. In the clinics, he presented with exertional dyspnea and leg swelling. The serial examination disclosed he had bicuspid aortic valve and very late rupture of SVA connecting to right atrium. After surgical repair again, he was discharged smoothly.ConclusionA very late recurrence of ruptured SVA after surgical repair was rare. We reported a case with unique echocardiographic presentation and a successful repair.

【 授权许可】

Unknown   
© Lin et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.