Cardiac tamponade due to a ruptured aneurysm of the sinus of valsalva |
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Authors: | Weijerse Arjan van der Schoot Marjolijn J T Maat Lex P W M Bruning Tobias A Geleijnse Marcel L Bogers Ad J J C |
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Institution: | Department of Cardio-thoracic Surgery, Thoraxcentre, Erasmus Medical Centre, Rotterdam, The Netherlands. |
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Abstract: | 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. |
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