지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.7
- 수록면
- 93 - 95 (3page)
- DOI
- 10.22468/cvia.2018.00283
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초록· 키워드
오류제보하기
Sinus of Valsalva rupture is a rare condition that results in aortocardiac shunt. Although the investigation of choice is transthoracic echocardiography, the gold standard is cardiac catheterization.
We present a case of a young male with acute onset heart failure. Acute coronary syndrome blood workup was unremarkable. Transthoracic and transesophageal echocardiography revealed mild right atrial dilation with a Gerbode shunt. Right heart catheterization showed left to right shunt suggestive of acquired acute onset shunting. Eventually, a cardiac MRI revealed a ruptured sinus of Valsalva opening into the right atrium as the cause. The patient was taken to the operation theater where an aortobicaval bypass was established. A horizontal aortotomy revealed a sinus of Valsalva aneurysm arising from the right coronary sinus which was repaired using a Dacron patch. Postoperative transthoracic echocardiography showed no defect. In summary, cardiac MRI is an excellent tool for establishing a definite diagnosis for complicated cardiac defects.
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