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Ruptured aneurysm of the aortic sinus of Valsalva—difficulties in establishing the diagnosis

Published online by Cambridge University Press:  19 August 2008

Diana R. Holdright*
Affiliation:
From the National Heart & Lung Institute and the Royal Brompton National Heart & Lung Hospital, London
Stephen Brecker
Affiliation:
From the National Heart & Lung Institute and the Royal Brompton National Heart & Lung Hospital, London
Mary Sheppard
Affiliation:
From the National Heart & Lung Institute and the Royal Brompton National Heart & Lung Hospital, London
*
Dr. Diana R. Holdright, The Middlesex Hospital, Mortimer Street, London W1N 8AA, United Kingdom. Tel. 44-71-636-8333.

Abstract

Aneurysms of the aortic sinus of Valsalva are rare and generally do not produce symptoms unless the aneurysm ruptures. When rupture occurs, the clinical findings depend to an extent on the site of the aneurysm and the cardiac chamber into which the aneurysm ruptures. We report a case of acute rupture of an aneurysm of the right aortic sinus, which was misdiagnosed as a ventricular septal defect. The clinical condition of the patient deteriorated rapidly, and transcatheter closure of the defect with an umbrella was associated with a fatal outcome.

Type
Clinicopathological Correlation
Copyright
Copyright © Cambridge University Press 1995

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References

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