Perioperative Division, Vanderbilt Heart Institute, Vanderbilt University Medical Center Nashville, Tennessee, USA MTSAC Full Member of the Argentine Society of Cardiology 1 Cardiologist 2 Cardiac Surgeon The aneurysms of the sinus of Valsalva are rare and can be either congenital or acquired. They may not produce symptoms or present with complications which are often related to aneurysm ruptur...

Anomalous origin of the circumflex coronary artery from the right sinus of Valsalva is the most common coronary anomaly. It is thought to be of no clinical relevance unless cardiac surgery is performed. We report a 53-year-old patient with aberrant circumflex coronary artery origin from the right aortic sinus of Valsalva which was first suspected from transthoracic 2D and transesophageal 3D ech...

A 42-year-old male was admitted due to syncope. 3D CT angiography demonstrated aortic paraannular abscess and pseudoaneurysm from sinus of Valsalva which has bulging contour to AV groove and right coronary artery. We performed abscess removal and debridement. Aortic root was reconstructed and the orifice of pseudoaneurysm was closed using autopericardium (Figs. 1 and 2). Fig. 1. 3D CT angiograp...

Background Previous studies establish a link between bicuspid aortic valve (BAV) morphology and aortic shape. Anteroposterior (AP) leaflets with right left (RL) fusion was found more often associated with dilatation of VS than left-right (LR) leaflets with either fusion between right and noncoronary(R-NC) cusps or between left and noncoronary cusps(L-NC). However, most of these studies were per...

Sinus of Valsalva aneurysms are extremely rare, and usually of a congenital nature. There are few documented cases of this condition during pregnancy, which renders unclear the therapeutic options. We here report the case of a 26 years old pregnant woman who was referred to our cardiac center for the evaluation of a heart murmur. The two-dimensional transthoracic echocardiography allowed quickl...

Coronary artery dilatation may be due to various aetiologies including congenital anomalies, atherosclerotic coronary disease, and Kawasakis disease. We describe a case characterised by apparent severe dilatation of the right coronary artery ostium in an asymptomatic male. Subsequent imaging and surgical intervention documented the presence of a sinus of Valsalva aneurysm extending into the ost...

A sinus of Valsalva-right atrial fistula secondary to nonpenetrating chest trauma is described. Echocardiogrpahy demonstrated diastolic fluttering of the anterior tricuspid valve, suggesting a left-to-right shunt at the level of the right atrium. External jugular venous pulse tracings revealed large alpha waves and attenuation of the y descent. Cardiac catheterization disclosed a fistulous comm...

SUMMARY Thirty-one patients with symptomatic sinus node dysfunction were evaluated with electrocardiograms, Holter monitor recordings, exercise, isoproterenol infusions, atropine administration, Valsalva maneuvers, carotid sinus massage, and overdrive pacing. Four basic clinical subsets were recognized: (1) carotid sinus hypersensitivity (2) bradyeardia-tachyeardia syndrome, (3) episodic sinus ...