Aneurysm of Sinus of Valsalva Dissecting into Interventricular Septum: A Possible Cause of Complete Atrioventricular Block.
10.4070/kcj.1999.29.6.625
- Author:
In Ah SEO
;
Kwang Soo CHA
;
Il Hwan OH
;
Jeong Hyun LIM
;
Kyung Ha SONG
;
Sang Gon KIM
;
Moo Hyun KIM
;
Hoo Keun PARK
;
Young Dae KIM
;
Jong Soo WOO
;
Jong Seong KIM
- Publication Type:Original Article
- Keywords:
Aneurysm of sinus of Valsalva;
Conduction disturbances;
Echocardiography;
Valsalva
- MeSH:
Aneurysm*;
Aortic Valve;
Atrioventricular Block*;
Diagnosis;
Dyspnea;
Echocardiography;
Female;
Heart Murmurs;
Hospitals, Community;
Humans;
Middle Aged;
Neck;
Prognosis;
Sinus of Valsalva*
- From:Korean Circulation Journal
1999;29(6):625-629
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Dissection of the interventricular septum by aneurysm of sinus of Valsalva is a rare lesion and has poor prognosis. However, it can be diagnosed noninvasively with echocardiography and managed well by surgical repair. A 55 year old female was readmitted due to aggravated exertional dyspnea. She was implanted with permanent pace-maker due to complete atrioventricular (AV) block of recent onset at a community hospital. Previous diastolic murmur near aortic area was changed to a new continuous murmur. The diagnosis of an aneurysm of sinus of Valsalva dissected into the interventricular septum was confirmed by routine two-dimensional echocardiography. The neck of the aneurysm was closed primarily with patch and aortic valve replacement was done. The pro-gnosis was good. The finding of AV block of recent onset and obscure origin in a young patient should alert the physician to the possibility of an aneurysm of sinus of Valsalva and warrants systematic echocardiography.
