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Echocardiographic evaluation of aorta to right atrial fistula secondary to ruptured sinus of valsalva aneurysm


Division of Cardiothoracic Anesthesiology, Mayo Clinic Florida, Jacksonville, FL, USA

Correspondence Address:
Archer Kilbourne Martin
Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_229_17

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Year : 2018  |  Volume : 21  |  Issue : 3  |  Page : 313-314

 

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We present the case of a 37 year old male who presented with new onset dyspnea, tachycardia, palpitations, and chest tightness. His initial work up demonstrated a dilated pulmonary artery with reflux of contrast dye in to the IVC. Transthoracic echocardiogram identified a “windsock” appearance indicating Sinus of Valsalva aneurysm (SVA) and severe aortic regurgitation. As a result, the patient was taken for emergent surgery where the windsock tissue was surgically repaired with bovine pericardial patch. This case illuminates the uncommon occurrence of SVA and the ability to recognize these findings on multiple imaging modalities including transthoracic, transesophageal two and three dimensional echocardiography as well as direct surgical field visualization.






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Division of Cardiothoracic Anesthesiology, Mayo Clinic Florida, Jacksonville, FL, USA

Correspondence Address:
Archer Kilbourne Martin
Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_229_17

Rights and Permissions

We present the case of a 37 year old male who presented with new onset dyspnea, tachycardia, palpitations, and chest tightness. His initial work up demonstrated a dilated pulmonary artery with reflux of contrast dye in to the IVC. Transthoracic echocardiogram identified a “windsock” appearance indicating Sinus of Valsalva aneurysm (SVA) and severe aortic regurgitation. As a result, the patient was taken for emergent surgery where the windsock tissue was surgically repaired with bovine pericardial patch. This case illuminates the uncommon occurrence of SVA and the ability to recognize these findings on multiple imaging modalities including transthoracic, transesophageal two and three dimensional echocardiography as well as direct surgical field visualization.






[FULL TEXT] [PDF]*


        
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