Aneurysm of Sinus of Valsalva Dissecting into Interventricular Septum: A Possible Cause of Complete Atrioventricular Block
Korean Circulation Journal
;
: 625-629, 1999.
Article
in Korean
| WPRIM
| ID: wpr-212565
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Aortic Valve
/
Prognosis
/
Sinus of Valsalva
/
Echocardiography
/
Heart Murmurs
/
Diagnosis
/
Dyspnea
/
Atrioventricular Block
/
Hospitals, Community
/
Aneurysm
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Korean Circulation Journal
Year:
1999
Type:
Article
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