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KMID : 0390620150230020113
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Journal of Cardiovascular Ultrasound
2015 Volume.23 No. 2 p.113 ~ p.117
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A Case of Perimembranous Ventricular Septal Defect Associated with Sinus of Valsalva Aneurysm Mimicking Membranous Septal Aneurysm
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Kim Hyung-Rae
Kim Shin-Jae
Lim Kyoung-Hoon
Kim Jong-Min
Lee Jun-Ho
Kim Yong-Giun
Jung Jong-Pil
Lee Sang-Gon
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Abstract
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Sinus of Valsalva aneurysms are rare. Sinus of Valsalva aneurysms are frequently associated with ventricular septal defect (VSD) and aortic regurgitation. They often remain asymptomatic until abruptly presenting with acute chest pain and heart failure secondary to rupture. Here, we describe a case of 20-year-old man who presented with chest pain with a history of VSD. Initial work-up concluded that the patient had VSD associated membranous septal aneurysm. Four years later, the patient presented with symptoms of heart failure. Work-up showed that the ruptured sinus of Valsalva aneurysm was the cause of symptoms. Due to its close proximity to the aortic annulus, sinus of Valsalva aneurysm should be differentiated from membranous septal aneurysm.
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KEYWORD
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Sinus of Valsalva aneurysm , Ventricular septal defect , Membranous septal aneurysm , Heart failure
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