454 Sinus of Valsalva Rupture. (19th August 2022)

• Record Type: Journal Article
• Authors: Kucheria, A; Reddy, A; Bahl, R; Ahluwalia, V; Sadighi, A
• Is Part Of: British journal of surgery. Volume 109(2022)Supplement 6
• Publication Date: 2022-08-19
• Subjects: Surgery -- Periodicals; 617.005
• DOI: 10.1093/bjs/znac269.103
• Languages: English
• ISSNs: 0007-1323

Abstract

Abstract: Background: Sinus of Valsalva (SVA) rupture is a rare cardiac pathology which is important to recognise and diagnose early. Case Summary: This case report details a 30-year-old gentleman who presented with a 3-day history of dyspnoea and palpitations on a background of previous congenital heart disease. The patient's examination highlighted a continuous harsh pan-systolic murmur as well as an ECG finding of sinus tachycardia. Transthoracic echocardiography identified a ruptured Sinus of Valsalva. The patient was transferred to a cardiothoracic surgery centre and definitively treated with an aortic root and ventricular septal defect repair. Discussion: This case highlights the clinical findings of a patient with an acute left to right shunt and the importance of early diagnosis and urgent surgery. This case emphasises the factors required to decide which surgical approach is appropriate such as the presence of aortic valvular pathology size, size of Sinus of Valsalva aneurysm, any simultaneous cardiac anomaly and the cardiac chamber involved. Learning Points: Recognising the difference between chronic intra-cardiac shunt and acute cardiac pathology presentation, therefore knowing how to manage this appropriately The importance of diagnosing a Sinus of Valsalva Rupture early The importance of appropriate and early surgical management of Sinus of Valsalva Rupture