Clinical Observation of Ruptured Right Aortic Sinus of Valsalva.
10.4070/kcj.1985.15.2.311
- Author:
Sung Gu KIM
;
Hyun Gill SHIN
;
Sung Woo LEE
;
Young Joo KWON
;
Joong Kee ROH
;
Kihl Rho LEE
- Publication Type:Original Article
- MeSH:
Age Distribution;
Aneurysm;
Aorta;
Aortic Valve Insufficiency;
Cardiac Catheterization;
Cardiac Catheters;
Chest Pain;
Dyspnea;
Electrocardiography;
Female;
Heart Septal Defects, Ventricular;
Heart Ventricles;
Humans;
Hypertrophy, Left Ventricular;
Male;
Oxygen;
Sinus of Valsalva*
- From:Korean Circulation Journal
1985;15(2):311-318
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A Clinical observation was made on five patients with ruptured right aortic sinus of valsalva who admitted Soonchunhyang College Hospital during the period of may, 1983-Jan., 1985. 1) Age distribution was from 18 to 46 years and four patients were male and the rest one was female. 2) Chief complaints were dyspnea, chest pain and palpitation. Continuous murmur was heard at third and fourth intercostal space along left sternal border with palpable thrill in all cases. 3) The ECG showed left ventricular hypertrophy in 4 cases and the M mode echocardiogram revealed the increased internal dimesion and the augmented motion of the left ventricle in all cases. The 2 dimensional echocardiogram revealed the aneurysmal sac in the right ventricle in 4 cases. 4) The aortogram by DSA method showed regurgitant flow from aorta to right ventricle in 4 cases. The cardiac catheterization showed a significant oxygen step up in the right ventricle in all cases. 5) Operation was done successfully in all cases, of which ventricular septal defect were in 3 cases and aortic regurgitation was in one case.
