1
|
Hanna MF, Malguria N, Saboo SS, Jordan KG, Landay M, Ghoshhajra BB, Abbara S. Cross-sectional imaging of sinus of Valsalva aneurysms: lessons learned. Diagn Interv Radiol 2017; 23:339-346. [PMID: 28814376 PMCID: PMC5602357 DOI: 10.5152/dir.2017.16522] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2016] [Revised: 12/14/2016] [Accepted: 04/19/2017] [Indexed: 11/22/2022]
Abstract
Sinus of Valsalva aneurysm, dilatation of one or more of the aortic sinuses, is a rare but important aortic root defect, which can be a cause of some serious cardiac sequels. The purpose of this article is to review the etiopathogenesis, relevant anatomy, clinical manifestations, potential complications, multimodality imaging features, and management of this rare but important entity of sinus of Valsalva.
Collapse
Affiliation(s)
- Mina F. Hanna
- From the Department of Radiology, Cardiothoracic Imaging (M.F.H., N.M., S.S.S., K.G.J., M.L., S.A. ), UT Southwestern Medical Center, Dallas, TX, USA; Department of Radiology, Cardiothoracic Imaging (M.F.H.), UT Health Science Center, Houston, TX, USA; Department of Radiology, Cardiac Imaging (B.B.G.) Massachusetts General Hospital, Boston, MA, USA
| | - Nagina Malguria
- From the Department of Radiology, Cardiothoracic Imaging (M.F.H., N.M., S.S.S., K.G.J., M.L., S.A. ), UT Southwestern Medical Center, Dallas, TX, USA; Department of Radiology, Cardiothoracic Imaging (M.F.H.), UT Health Science Center, Houston, TX, USA; Department of Radiology, Cardiac Imaging (B.B.G.) Massachusetts General Hospital, Boston, MA, USA
| | - Sachin S. Saboo
- From the Department of Radiology, Cardiothoracic Imaging (M.F.H., N.M., S.S.S., K.G.J., M.L., S.A. ), UT Southwestern Medical Center, Dallas, TX, USA; Department of Radiology, Cardiothoracic Imaging (M.F.H.), UT Health Science Center, Houston, TX, USA; Department of Radiology, Cardiac Imaging (B.B.G.) Massachusetts General Hospital, Boston, MA, USA
| | - Kirk G. Jordan
- From the Department of Radiology, Cardiothoracic Imaging (M.F.H., N.M., S.S.S., K.G.J., M.L., S.A. ), UT Southwestern Medical Center, Dallas, TX, USA; Department of Radiology, Cardiothoracic Imaging (M.F.H.), UT Health Science Center, Houston, TX, USA; Department of Radiology, Cardiac Imaging (B.B.G.) Massachusetts General Hospital, Boston, MA, USA
| | - Michael Landay
- From the Department of Radiology, Cardiothoracic Imaging (M.F.H., N.M., S.S.S., K.G.J., M.L., S.A. ), UT Southwestern Medical Center, Dallas, TX, USA; Department of Radiology, Cardiothoracic Imaging (M.F.H.), UT Health Science Center, Houston, TX, USA; Department of Radiology, Cardiac Imaging (B.B.G.) Massachusetts General Hospital, Boston, MA, USA
| | - Brian B. Ghoshhajra
- From the Department of Radiology, Cardiothoracic Imaging (M.F.H., N.M., S.S.S., K.G.J., M.L., S.A. ), UT Southwestern Medical Center, Dallas, TX, USA; Department of Radiology, Cardiothoracic Imaging (M.F.H.), UT Health Science Center, Houston, TX, USA; Department of Radiology, Cardiac Imaging (B.B.G.) Massachusetts General Hospital, Boston, MA, USA
| | - Suhny Abbara
- From the Department of Radiology, Cardiothoracic Imaging (M.F.H., N.M., S.S.S., K.G.J., M.L., S.A. ), UT Southwestern Medical Center, Dallas, TX, USA; Department of Radiology, Cardiothoracic Imaging (M.F.H.), UT Health Science Center, Houston, TX, USA; Department of Radiology, Cardiac Imaging (B.B.G.) Massachusetts General Hospital, Boston, MA, USA
| |
Collapse
|
2
|
Fang ZF, Huang YY, Tang L, Hu XQ, Shen XQ, Tang JJ, Zhou SH. Long-term outcomes of transcatheter closure of ruptured sinus valsalva aneurysms using patent ductus arteriosus occluders. Circ J 2014; 78:2197-202. [PMID: 25030418 DOI: 10.1253/circj.cj-14-0106] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
BACKGROUND Transcatheter closure (TCC) of ruptured sinus of Valsalva aneurysm (RSVA) is an alternative strategy to surgery, but there is a lack of long-term outcome data. METHODS AND RESULTS: From 2004 to 2012, 17 patients (8 males, 9 females) were treated with patent ductus arteriosus (PDA) occluders by antegrade venous approach and were followed for 18-102 months. Of the 17 patients, transthoracic echocardiography revealed rupture of the right coronary sinus into the right ventricle in 9 and into the right atrium in 4, and noncoronary sinus rupture into the right ventricle in 3 and into the right atrium in 1. Most (10/17) were in New York Heart Association (NYHA) functional class III or IV. Aortography showed that the size of the defect was 7.71±2.84 mm (4-15 mm). TCC was attempted using PDA occluders 2-5 mm larger than the aortic end of the defects. The device sizes ranged from 8/6 to 18/16 mm (median, 10/8 mm). The procedure was successful in 16 (94.1%), and all of them had complete occlusion at discharge. On a median follow-up of 42 months, 14 patients were in NYHA class I and 2 were in class II, and there was no residual shunt, device embolization, infective endocarditis, or aortic regurgitation. CONCLUSIONS TCC of RSVA is a safe and effective alternative to surgery with favorable long-term follow-up results.
Collapse
Affiliation(s)
- Zhen-Fei Fang
- Department of Cardiology, The Second Xiangya Hospital of Central South University
| | | | | | | | | | | | | |
Collapse
|