Rupture of sinus of Valsalva aneurysm into both right atrium and right ventricle : a case report

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dc.contributor.authorPrzybojewski, J. Z.
dc.contributor.authorBlake, R. S.
dc.contributor.authorDe Wet Lubbe, J. J.
dc.contributor.authorRossouw, J.
dc.contributor.authorVan der Walt, J. J.
dc.date.accessioned2011-03-18T14:59:46Z
dc.date.available2011-03-18T14:59:46Z
dc.date.issued1983-04
dc.descriptionThe original publication is available at http://www.samj.org.za
dc.description.abstractA young man had a congenital sinus of Valsalva aneurysm originating from the right coronary sinus, complicated by fistulas draining into both right atrium and right ventricle, as well as congenitally abnormal aortic valve with mild aortic insufficiency. His dramatic clinical presentation, with the sudden appearance of severe biventricular cardiac failure unresponsive to intensive medical therapy, was an important clue to making the correct pre-operative diagnosis. The use of non-invasive techniques, such as phonocardiography and M-mode and two-dimensional echocardiography, is highlighted. Full cardiac catheterization was employed to define the cardiac pathophysiology. This was one of the few cases documented in which a catheter could be passed from the aorta into the right ventricle via the fistula connecting these two chambers. The fistulas were closed and the aortic valve replaced. Postoperative investigations confirmed the success of corrective surgery. As far as we are aware this is the first documented case of successful repair of a congenital sinus of Valsalva aneurysm rupturing into both the right atrium and right ventricle, accompanied by aortic insufficiency.en_ZA
dc.description.versionPublishers' version
dc.format.extent10 p. : ill.
dc.identifier.citationPrzybojewski, J. Z. et al. 1983. Rupture of sinus of Valsalva aneurysm into both right atrium and right ventricle : a case report. South African Medical Journal, 16 April: 616-625
dc.identifier.issn2078-5135 (online) 0256-9574 (print)
dc.identifier.urihttp://hdl.handle.net/10019.1/8043
dc.language.isoen
dc.publisherHealth and Medical Publishing Group -- HMPG
dc.rights.holderThe authors
dc.subjectValsalva aneurysmen_ZA
dc.subjectAorta -- Diseasesen_ZA
dc.subjectAortic aneurysmsen_ZA
dc.titleRupture of sinus of Valsalva aneurysm into both right atrium and right ventricle : a case reporten_ZA
dc.typeArticle
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