Résumé
Eustachian valve (EV), a remnant of the right valve of sinus venosus in the right atrium can be puzzling. Often it is confused with Chiari network or atrial adhesions and is reported with unusual complications. We report a case of large EV impeding cannulation of inferior vena cava (IVC) during aortic valve replacement. Transesophageal echocardiography diagnosed the presence of large EV and warned of the difficulty with IVC cannulation and helped preparedness for an alternative plan during surgery.
Sujets)
Diagnostic différentiel , Échocardiographie transoesophagienne/méthodes , Femelle , Atrium du coeur/imagerie diagnostique , Valves cardiaques/malformations , Valves cardiaques/imagerie diagnostique , Humains , Résultats fortuits , Adulte d'âge moyen , Veine cave inférieure/imagerie diagnostiqueSujets)
Rupture d'anévrysme/chirurgie , Rupture d'anévrysme/imagerie diagnostique , Cathétérisme cardiaque/méthodes , Anévrysme coronarien/chirurgie , Anévrysme coronarien/imagerie diagnostique , Échocardiographie , Échocardiographie transoesophagienne/méthodes , Humains , Mâle , Sinus de l'aorte/chirurgie , Sinus de l'aorte/imagerie diagnostique , Jeune adulteRésumé
Aneurysm of sinus of Valsalva is a rare congenital cardiac defect that can present with myriad signs and symptoms ranging from trivial to catastrophic events like cardiogenic shock and death. As clinical examination is not entirely reliable and the patient can sometimes be so ill as to preclude cardiac catheterization, echocardiography has become the definitive investigative tool not only to define and diagnose the lesion but also to quantify its severity. The following is a case report of multiple aneurysms of the left aortic sinus of Valsalva rupturing into the left ventricle. Diagnosis is made on multi plane transesophageal echocardiography and color Doppler regarding precise identification of structural anomalies and shunt locations for perioperative assessment and definitive treatment is surgical repair.