Abstract

MALKUN PAZ, Celin et al. Ruptured right sinus of valsalva aneurysm with dissection to the interventricular septum. Rev. Colomb. Cardiol. [online]. 2019, vol.26, n.3, pp.152-152. ISSN 0120-5633.  https://doi.org/10.1016/j.rccar.2018.06.001.

The case is presented on a 69 year-old male patient with a history of arterial hypertension and a clinical picture of dyspnoea on little or minimal effort, as well as an implanted cardiac resynchronization device due to complete atrial-ventricular block and low cardiac output. The echocardiogram showed an image of a cyst in the interventricular septum.

The cardiac catheterisation showed a ruptured right sinus of Valsalva aneurysm that was dissected up to the interventricular septum, producing a sac of 4 x 3.4 cm that deformed the aortic valve ring and caused severe aortic valve insufficiency.

The procedure for the surgical closure of the aneurysm and the implant of a biological aortic valve was performed successfully.

A very rare case is presented of an interventricular septum dissection due to a ruptured right sinus of Valsalva aneurysm. This type is not included in the classification of sinus of Valsalva ruptures.

Keywords : Sinus of Valsalva; Aneurysm; Aortic insufficiency.

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