Ruptured Sinus of Valsalva Aneurysm (RSVA) Surgery
20 April 2023 | Medicover Hospitals |RSOV aneurysm is a rare but potential cause of high output heart failure, with the reported incidence of 1-5% and male to female ratio of 4:1. It commonly originates in right coronary sinus followed by non-coronary sinus and ruptures into the right ventricle followed by right atrium. The most common coexisting cardiac anomaly with RSOV is Ventricular septal defect in 75% of cases and Aortic Regurgitation in 25%of cases. We are presenting here a case of RSOV aneurysm associated with VSD and ruptured into the right ventricle.
A 43yr old male patient came with complaints of chest pain in the past 6 months associated with shortness of breath on exertion NHYA CLASS II. Known case of chronic calcific pancreatitis. on General examination the patient is moderately built, nourished, pedal edema and Icterus present. on Systemic examination CVS -pan systolic murmur present, RS -NVBS, P/A soft, CNS-NAD. 2Decho revealed -5.7MM RSOV and RV with left to right shunt, gradients-115mm of HG. EF:60%, coronary angiogram revealed normal coronaries. LFT -raised bilirubin (TB-2.9, DB-1.8), serum albumin 2.5. Based on the examination and investigations patient was diagnosed as RSOV aneurysm.
