|
KMID : 0368119990290060625
|
|
Korean Circulation Journal
1999 Volume.29 No. 6 p.625 ~ p.629
|
|
|
Aneurysm of Sinus of Valsalva Dissecting into Interventricular Septum : A Possible Cause of Complete Atrioventricular Block
|
|
서인아/In Ah Seo
차광수/오일환/임정현/송경하/김상곤/김무현/김영대/김종성/우종수/박후근/Kwnag Soo Cha/Il Hwan Oh/Jeong Hyun Lim/Kyung Ha Song/Sang Gon Kim/Moo Hyun Kim/Young Dae Kim/Jong Seong Kim/Jong Soo Woo/Hoo Keun Park,
|
|
|
Abstract
|
|
|
Dissection of the interventricular septum by aneurysm of sinus of Valsalva is a rare
lesion and has poor prognosis. However, it can be diagnosed noninvasively with
echocardiography and managed well by surgical repair. A 55 year old female was
readmitted due to aggravated exertional dyspnea. She was implanted with permanent
pacemaker due to complete atrioventricular (AV) block of recent onset at a community
hospital. Previous diastolic murmur near aortic area was changed to a new continuous
murmur. The diagnosis of an aneurysm of sinus of Valsalva dissected into the
interventricular septum was confirmed by routine two-dimensional echocardiography. The
neck of the aneurysm was closed primarily with patch and aortic valve replacement was
done. The prognosis was good. The finding of AV block of recent onset and obscure
origin in a young patient should alert the physician to the possibility of an aneurysm of
sinus of Valsalva and warrants systematic echocardiography.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|