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KMID : 1149520190030030093
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Cardiovasclar Imaging Asia
2019 Volume.3 No. 3 p.93 ~ p.95
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Role of Cardiac MRI in Complicated Cardiac Defects
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Khan Yasir
Pervez Mohammad Bin
Fatimi Saulat
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Abstract
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Sinus of Valsalva rupture is a rare condition that results in aortocardiac shunt. Although the investigation of choice is transthoracic echocardiography, the gold standard is cardiac catheterization. We present a case of a young male with acute onset heart failure. Acute coronary syndrome blood workup was unremarkable. Transthoracic and transesophageal echocardiography revealed mild right atrial dilation with a Gerbode shunt. Right heart catheterization showed left to right shunt suggestive of acquired acute onset shunting. Eventually, a cardiac MRI revealed a ruptured sinus of Valsalva opening into the right atrium as the cause. The patient was taken to the operation theater where an aortobicaval bypass was established. A horizontal aortotomy revealed a sinus of Valsalva aneurysm arising from the right coronary sinus which was repaired using a Dacron patch. Postoperative transthoracic echocardiography showed no defect. In summary, cardiac MRI is an excellent tool for establishing a definite diagnosis for complicated cardiac defects.
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KEYWORD
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Ruptured aortic aneurysm, Congenital defects, Magnetic resonance imaging, functional, Cine magnetic resonance imaging
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