Rupture of a congenital sinus of Valsalva aneurysm presenting as acute heart failure

被引：0

作者：

Berent, R ^{[1
]}

Punzengruber, C ^{[1
]}

Auer, J ^{[1
]}

Mayr, H ^{[1
]}

Maurer, E ^{[1
]}

Pichler, E ^{[1
]}

Eber, B ^{[1
]}

机构：

[1] Allg Offentl Krankenhaus Barmherzigen Schwest Heil, Interne Abt Kardiol 2, A-4600 Wels, Austria

来源：

ZEITSCHRIFT FUR KARDIOLOGIE | 2000年 / 89卷 / 02期

关键词：

sinus-Valsalva-aneurysm; echocardiography; heart failure;

D O I：

10.1007/s003920050017

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 54 year old woman was admitted to a hospital because of acute thoracal pain, dyspnea, and clinical signs of overt right heart failure. Transthoracic and multiplane echocardiography established the diagnosis of a ruptured aneurysm of the right coronary sinus of valsalva into the right atrium which could be confirmed by cardiac catheterization. During heart surgery, which was done without complications, the defect was closed with a suture. Six months later echocardiography showed a normal right ventricle; the function of the aortic valve was regular. Acute heart failure may be due to a congenital structural cardiac anomaly in spite of the age of 54. In such conditions transthoracic and especially transesophageal echocardiography serve as noninvasive excellent tools to make an exact diagnosis.

引用

页码：109 / 113

页数：5

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