Circulation, Vol 53, 732-735, Copyright © 1976 by American Heart Association
K Nishimura, N Hibi, T Kato, Y Fukui and T Arakawa
A two-dimensional echocardiographic manifestation of a ruptured right sinus
of Valsalva aneurysm is described in this case report. The
ultrasono-cardiotomograms demonstrated the aneurysm cut longitudinally and
protruding into the outflow tract of the right ventricle. The configuration
of the aneurysm was consistent with the contrast medium- filled sinus
demonstrated by angiocardiography. In systole, the aneurysmal sinus moved
anteroinferiorly together with the aortic wall. The echocardiogram revealed
an abnormal two-layered horizontal echo in the right ventricle which showed
the aneurysm when the ultrasonic beam passed through the interventricular
septum near the aortic root and mitral leaflets. During the operation, the
protruding sinus and a small interventricular septal defect in the
membranous septum under it were observed through the opened right
ventricle. After the closure of the aneurysm, the two-dimensional
echocardiogram no longer showed an abnormal configuration.
ARTICLES
Real-time observation of ruptured right sinus of Valsalva aneurysm by high speed ultrasono-cardiotomography. Report of a case
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