Aneurysms of Aortic Sinus of Valsalva Dissecting through the Interventricular Septum With Rupture into the Left Ventricle: Case Series and Literature Review.
Mrinal PatelKartik PatelTrushar GajjarAmit MishraPublished in: World journal for pediatric & congenital heart surgery (2024)
Aneurysm of Aortic sinus of Valsalva (ASOV) dissecting into the interventricular septum (IVS) and rupturing into the left ventricle (LV) is a rare clinical diagnosis. Systemic inflammatory diseases like tuberculosis can aggravate this condition. We describe three cases of ASOV dissecting into the IVS and rupturing into the LV. All three patients underwent surgical intervention; two had a successful outcome. A literature review was conducted and19 previously reported cases were studied. The extent and direction of septal dissection determined the associated cardiac valvular and rhythm problems. Patch closure of the mouth of the aneurysm is the surgical method of choice. In the presence of multiple sinus tracts or if there is recurrence after surgical closure, aortic sinus or root replacement techniques have better outcomes.
Keyphrases
- pulmonary artery
- coronary artery
- aortic valve
- left ventricular
- atrial fibrillation
- pulmonary hypertension
- case report
- randomized controlled trial
- end stage renal disease
- mitral valve
- mental health
- newly diagnosed
- cardiac resynchronization therapy
- aortic dissection
- pulmonary arterial hypertension
- prognostic factors
- oxidative stress
- mycobacterium tuberculosis
- emergency department
- heart failure
- adipose tissue
- hypertrophic cardiomyopathy
- abdominal aortic aneurysm
- congenital heart disease
- blood pressure
- hiv aids
- skeletal muscle
- decision making
- drug induced
- insulin resistance
- antiretroviral therapy
- adverse drug