Abstract

PINEDA-DE PAZ, Dulman O. et al. Successful surgical correction of a rupture of a Sakakibara type IV Valsalva sinus aneurysm and closure of the perimembranous ventricular septal defect. Rev. Colomb. Cardiol. [online]. 2018, vol.25, n.6, pp.406-406. ISSN 0120-5633.  https://doi.org/10.1016/j.rccar.2018.03.003.

An aneurysm of the sinus of Valsalva is a cardiac anomaly that can be congenital or acquired. It is referred to as a rare congenital anomaly, usually asymptomatic and detected in a routine 2-D echocardiogram. It is also found associated with the compression of adjacent structures or as intra-cardiac short-circuits caused by the rupture of an aneurysm of the sinus of Valsalva within a right cavity of the heart. The case is presented of a 27 year-old male, who arrived in the Emergency Department with progressive dyspnoea even with small exertions and was diagnosed with rupture of a Sakakibara type IV, non-coronary sinus of Valsalva aneurysm, associated with a perimembranous ventricular septal defect. Open heart surgery was performed for definitive surgical treatment, which was successful. A short review of the literature is presented on this condition, its definition, aetiology, epidemiology, classification, diagnosis, and treatment.

Keywords : Sinus of Valsalva; Aneurysm; Echocardiogram; Congenital.

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