Rupture of the right sinus of Valsalva aneurysm and formation of ventricular septal dissection and third-degree atrioventricular block: A case report
Sinus of Valsalva aneurysm is a rare congenital or acquired cardiac structural abnormality. The sinus of Valsalva aneurysm refers to the local development defect of the aortic sinus wall. Under aortic hypertension, the sinus wall becomes thinner and expands outward. Its clinical manifestations range...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-12-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X221140658 |
| _version_ | 1811291112063631360 |
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| author | Si-Yi Yi Can Zhou Jie Feng Wei-Sheng Zhan Zheng Zhou Ying Yang |
| author_facet | Si-Yi Yi Can Zhou Jie Feng Wei-Sheng Zhan Zheng Zhou Ying Yang |
| author_sort | Si-Yi Yi |
| collection | DOAJ |
| description | Sinus of Valsalva aneurysm is a rare congenital or acquired cardiac structural abnormality. The sinus of Valsalva aneurysm refers to the local development defect of the aortic sinus wall. Under aortic hypertension, the sinus wall becomes thinner and expands outward. Its clinical manifestations range from asymptomatic to severe life-threatening complications caused by compression or rupture of important surrounding structures. A few cases of aortic aneurysm sinus with arrhythmias have been reported, including complete heart block. Here, we present the case of a 50-year-old male patient with recurrent syncope due to a third-degree atrioventricular block. We found a right sinus of Valsalva aneurysm that ruptured into the basal segment of the interventricular septum and formed a basal septal dissection on echocardiography, which could have caused a third-degree atrioventricular block. This case report highlights the importance of finding secondary etiologies in the sudden or transient onset of third-degree atrioventricular block and using echocardiography to evaluate patients with heart block. |
| first_indexed | 2024-04-13T04:23:35Z |
| format | Article |
| id | doaj.art-ef7dbfcee54b48a59dbefa5ad5fa8322 |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-04-13T04:23:35Z |
| publishDate | 2022-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-ef7dbfcee54b48a59dbefa5ad5fa83222022-12-22T03:02:38ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2022-12-011010.1177/2050313X221140658Rupture of the right sinus of Valsalva aneurysm and formation of ventricular septal dissection and third-degree atrioventricular block: A case reportSi-Yi Yi0Can Zhou1Jie Feng2Wei-Sheng Zhan3Zheng Zhou4Ying Yang5Department of Clinical Medicine, North Sichuan Medical College, Nanchong, ChinaDepartment of Clinical Medicine, North Sichuan Medical College, Nanchong, ChinaDepartment of Clinical Medicine, North Sichuan Medical College, Nanchong, ChinaDepartment of Clinical Medicine, North Sichuan Medical College, Nanchong, ChinaDepartment of Clinical Medicine, North Sichuan Medical College, Nanchong, ChinaDepartment of Clinical Medicine, North Sichuan Medical College, Nanchong, ChinaSinus of Valsalva aneurysm is a rare congenital or acquired cardiac structural abnormality. The sinus of Valsalva aneurysm refers to the local development defect of the aortic sinus wall. Under aortic hypertension, the sinus wall becomes thinner and expands outward. Its clinical manifestations range from asymptomatic to severe life-threatening complications caused by compression or rupture of important surrounding structures. A few cases of aortic aneurysm sinus with arrhythmias have been reported, including complete heart block. Here, we present the case of a 50-year-old male patient with recurrent syncope due to a third-degree atrioventricular block. We found a right sinus of Valsalva aneurysm that ruptured into the basal segment of the interventricular septum and formed a basal septal dissection on echocardiography, which could have caused a third-degree atrioventricular block. This case report highlights the importance of finding secondary etiologies in the sudden or transient onset of third-degree atrioventricular block and using echocardiography to evaluate patients with heart block.https://doi.org/10.1177/2050313X221140658 |
| spellingShingle | Si-Yi Yi Can Zhou Jie Feng Wei-Sheng Zhan Zheng Zhou Ying Yang Rupture of the right sinus of Valsalva aneurysm and formation of ventricular septal dissection and third-degree atrioventricular block: A case report SAGE Open Medical Case Reports |
| title | Rupture of the right sinus of Valsalva aneurysm and formation of ventricular septal dissection and third-degree atrioventricular block: A case report |
| title_full | Rupture of the right sinus of Valsalva aneurysm and formation of ventricular septal dissection and third-degree atrioventricular block: A case report |
| title_fullStr | Rupture of the right sinus of Valsalva aneurysm and formation of ventricular septal dissection and third-degree atrioventricular block: A case report |
| title_full_unstemmed | Rupture of the right sinus of Valsalva aneurysm and formation of ventricular septal dissection and third-degree atrioventricular block: A case report |
| title_short | Rupture of the right sinus of Valsalva aneurysm and formation of ventricular septal dissection and third-degree atrioventricular block: A case report |
| title_sort | rupture of the right sinus of valsalva aneurysm and formation of ventricular septal dissection and third degree atrioventricular block a case report |
| url | https://doi.org/10.1177/2050313X221140658 |
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