A Case of Perimembranous Ventricular Septal Defect Associated with Sinus of Valsalva Aneurysm Mimicking Membranous Septal Aneurysm
1
조회
0
다운로드
1
인용
0
참고문헌
초록
Sinus of Valsalva aneurysms are rare. Sinus of Valsalva aneurysms are frequently associated with ventricular septal defect (VSD)and aortic regurgitation. They often remain asymptomatic until abruptly presenting with acute chest pain and heart failuresecondary to rupture. Here, we describe a case of 20-year-old man who presented with chest pain with a history of VSD. Initialwork-up concluded that the patient had VSD associated membranous septal aneurysm. Four years later, the patient presentedwith symptoms of heart failure. Work-up showed that the ruptured sinus of Valsalva aneurysm was the cause of symptoms. Due to its close proximity to the aortic annulus, sinus of Valsalva aneurysm should be differentiated from membranous septalaneurysm.
Abstract
Sinus of Valsalva aneurysms are rare. Sinus of Valsalva aneurysms are frequently associated with ventricular septal defect (VSD)and aortic regurgitation. They often remain asymptomatic until abruptly presenting with acute chest pain and heart failuresecondary to rupture. Here, we describe a case of 20-year-old man who presented with chest pain with a history of VSD. Initialwork-up concluded that the patient had VSD associated membranous septal aneurysm. Four years later, the patient presentedwith symptoms of heart failure. Work-up showed that the ruptured sinus of Valsalva aneurysm was the cause of symptoms. Due to its close proximity to the aortic annulus, sinus of Valsalva aneurysm should be differentiated from membranous septalaneurysm.
참고문헌 (20)
- Edwards JE, "The pathological anatomy of deficiencies between the aortic root and the heart, including aortic sinus aneurysms", Thorax, 12, pp.125~139 (1957)
- Michael DF, "Hurst’s the heart, arteries and veins" (1998), McGraw-Hill
- 이태호, "발살바동 동맥류 파열의 임상적 고찰", Korean Journal of Pediatrics, 49(3), pp.287~291 (2006), 대한소아과학회
- Moon KS, "Clinical characteristics in patients with ruptured aneurysm of sinus of Valsalva", Korean Circ J, 30, pp.183~190 (2000)
- De Bakey ME, "Abnormalities of the sinuses of valsalva. Experience with 35 patients", J Thorac Cardiovasc Surg, 54, pp.312~332 (1967)
- Sanchez HE, "Fistula of the sinus of Valsalva", J Thorac Cardiovasc Surg, 73, pp.877~879 (1977)
- Takach TJ, "Sinus of Valsalva aneurysm or fistula : management and outcome", Ann Thorac Surg, 68, pp.1573~1577 (1999)
- Chu SH, "Ruptured aneurysms of the sinus of Valsalva in Oriental patients", J Thorac Cardiovasc Surg, 99, pp.288~298 (1990)
- Norwicki ER, "Congenital left aortic sinus-left ventricle fistula and review of aortocardiac fistulas", Ann Thorac Surg, 23, pp.378~388 (1977)
- Burakovsky VI, "Ruptured congenital aneurysm of the sinus of Valsalva. Clinical manifestations, diagnosis, and results of surgical corrections", J Thorac Cardiovasc Surg, 95, pp.836~841 (1988)
- van Son JA, "Long-term outcome of surgical repair of ruptured sinus of Valsalva aneurysm", Circulation, 90(5), pp.20~29 (1994)
- Joo SJ, "Clinical observation on ruptured aneurysm of the sinus of Valsalva", Korean Circ J, 17, pp.149~158 (1987)
- Acar P, "Transcatheter closure of perimembranous ventricular septal defects with Amplatzer occluder assessed by real-time threedimensional echocardiography", Eur J Echocardiogr, 8, pp.110~115 (2007)
- Schmaltz AA, "Ventricular septal defect and aortic regurgitationpathophysiological aspects and therapeutic consequences", Z Kardiol, 93, pp.194~200 (2004)
- Eapen RS, "Echocardiographic characteristics of perimembranous ventricular septal defects associated with aortic regurgitation", J Am Soc Echocardiogr, 16, pp.209~213 (2003)
- Dev V, "Echocardiographic diagnosis of aneurysm of the sinus of Valsalva", Am Heart J, 126, pp.930~936 (1993)
- Terdjman M, "Aneurysms of sinus of Valsalva : two-dimensional echocardiographic diagnosis and recognition of rupture into the right heart cavities", J Am Coll Cardiol, 3, pp.1227~1235 (1984)
- Wang KY, "Congenital sinus of Valsalva aneurysm : a multiplane transesophageal echocardiographic experience", J Am Soc Echocardiogr, 10, pp.956~963 (1997)
- Choi M, "Ventricular septal aneurysms in adults : findings of cardiac CT images and correlation with clinical features", Acta Radiol, 52, pp.619~623 (2011)
- Beerman LB, "Ventricular septal defect associated with aneurysm of the membranous septum", J Am Coll Cardiol, 5, pp.118~123 (1985)