Unruptured Aneurysm of Sinus of Valsalva Coexisting with the Large Ventricular Septal Defect and Severe Aortic Regurgitation in a Young Man

Introduction. Unruptured sinus of valsalva aneurysm (SVA) is a rare congenital anomaly, particularly, when it coexists with a ventricular septal defect (VSD) and aortic regurgitation due to the prolapse of the elongated aortic cusp into the VSD. In this report, we present the case of a 19-year-old y...

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Main Authors: Pouya Nezafati, Mohammad Hassan Nezafati, Hamid Hoseinikhah
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2015/396098
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author Pouya Nezafati
Mohammad Hassan Nezafati
Hamid Hoseinikhah
author_facet Pouya Nezafati
Mohammad Hassan Nezafati
Hamid Hoseinikhah
author_sort Pouya Nezafati
collection DOAJ
description Introduction. Unruptured sinus of valsalva aneurysm (SVA) is a rare congenital anomaly, particularly, when it coexists with a ventricular septal defect (VSD) and aortic regurgitation due to the prolapse of the elongated aortic cusp into the VSD. In this report, we present the case of a 19-year-old young man with VSD challenging in spite of dyspnea and lower limb edema. Presentation of Case. Its diagnosis was made on the basis of transthoracic echocardiography results. Surgical management consisted of replacing the SVA with mechanical valve prosthesis. A Gore-Tex patch repaired the VSD. Discussion. In the follow-up periods, clinical and echocardiographic tests showed that the patient was in excellent status. Conclusion. SVA requires a surgical procedure due to its high risk of mortality in unoperated patients and a good safety of surgery.
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issn 1687-9627
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publishDate 2015-01-01
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spelling doaj-art-978b6ab4b89d4b03ad536ffef9cbfcfc2025-02-03T01:33:13ZengWileyCase Reports in Medicine1687-96271687-96352015-01-01201510.1155/2015/396098396098Unruptured Aneurysm of Sinus of Valsalva Coexisting with the Large Ventricular Septal Defect and Severe Aortic Regurgitation in a Young ManPouya Nezafati0Mohammad Hassan Nezafati1Hamid Hoseinikhah2Cardiac Surgery Research Committee, Mashhad University of Medical Sciences, Mashhad 9137913316, IranDepartment of Cardiac Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad 9137913316, IranDepartment of Cardiac Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad 9137913316, IranIntroduction. Unruptured sinus of valsalva aneurysm (SVA) is a rare congenital anomaly, particularly, when it coexists with a ventricular septal defect (VSD) and aortic regurgitation due to the prolapse of the elongated aortic cusp into the VSD. In this report, we present the case of a 19-year-old young man with VSD challenging in spite of dyspnea and lower limb edema. Presentation of Case. Its diagnosis was made on the basis of transthoracic echocardiography results. Surgical management consisted of replacing the SVA with mechanical valve prosthesis. A Gore-Tex patch repaired the VSD. Discussion. In the follow-up periods, clinical and echocardiographic tests showed that the patient was in excellent status. Conclusion. SVA requires a surgical procedure due to its high risk of mortality in unoperated patients and a good safety of surgery.http://dx.doi.org/10.1155/2015/396098
spellingShingle Pouya Nezafati
Mohammad Hassan Nezafati
Hamid Hoseinikhah
Unruptured Aneurysm of Sinus of Valsalva Coexisting with the Large Ventricular Septal Defect and Severe Aortic Regurgitation in a Young Man
Case Reports in Medicine
title Unruptured Aneurysm of Sinus of Valsalva Coexisting with the Large Ventricular Septal Defect and Severe Aortic Regurgitation in a Young Man
title_full Unruptured Aneurysm of Sinus of Valsalva Coexisting with the Large Ventricular Septal Defect and Severe Aortic Regurgitation in a Young Man
title_fullStr Unruptured Aneurysm of Sinus of Valsalva Coexisting with the Large Ventricular Septal Defect and Severe Aortic Regurgitation in a Young Man
title_full_unstemmed Unruptured Aneurysm of Sinus of Valsalva Coexisting with the Large Ventricular Septal Defect and Severe Aortic Regurgitation in a Young Man
title_short Unruptured Aneurysm of Sinus of Valsalva Coexisting with the Large Ventricular Septal Defect and Severe Aortic Regurgitation in a Young Man
title_sort unruptured aneurysm of sinus of valsalva coexisting with the large ventricular septal defect and severe aortic regurgitation in a young man
url http://dx.doi.org/10.1155/2015/396098
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AT mohammadhassannezafati unrupturedaneurysmofsinusofvalsalvacoexistingwiththelargeventricularseptaldefectandsevereaorticregurgitationinayoungman
AT hamidhoseinikhah unrupturedaneurysmofsinusofvalsalvacoexistingwiththelargeventricularseptaldefectandsevereaorticregurgitationinayoungman