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
- pulmonary hypertension
- atrial fibrillation
- end stage renal disease
- newly diagnosed
- ejection fraction
- mitral valve
- mental health
- pulmonary arterial hypertension
- mycobacterium tuberculosis
- aortic dissection
- cardiac resynchronization therapy
- prognostic factors
- oxidative stress
- hypertrophic cardiomyopathy
- heart failure
- emergency department
- adipose tissue
- pulmonary tuberculosis
- congenital heart disease
- insulin resistance
- hiv infected
- decision making