829V 49 16 2012 Ruptured sinus of Valsalva is a rare lesion in pediatric age group We are reporting a twelveValsalva R uptured sinus of Valsalva RSOV is a rarewith a cardiac chamber frequently ri ID: 940882
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829V 49 16, 2012 CCCCCAAAAASSSSSEEEEE R R R R Ruptured sinus of Valsalva is a rare lesion in pediatric age group. We are reporting a twelveValsalva R uptured sinus of Valsalva (RSOV) is a rarewith a cardiac chamber, frequently right sided,producing an aorto-cardiac fistula. The presentation maycardiogenic shock and death. The mean age for the onset 830V 49 16, 2012EPORTSrheumatic fever with severe aortic regurgitation. Gomez,. [5] reported a similar case of ruptured aneurysm ofthe sinus of Valsalva in a 12-year-old boy diagnosed with-old boy diagnosed withDattilo, et al. [6] reported a chance finding of ananeurysm of the right sinus of Valsalva in an 11-year-oldpericardial effusion. Diwedi, fusion. Diwedi, extremely rare case of a 6-year-old child with left Sinusof Valsalva aneurysm opening in right atrium [7].The lesion is five times more common in Asians [2-4].Various reports indicate a male preponderance in AsiansAsianspatients are symptomatic with dyspnea, pain,palpitations, or fatigue. Majority will have gradual onset,while 1/4 will have acute onset of their symptoms [2-4].The right coronary sinus is most commonly affected as infected as inAssociated lesions are common in patients withcongenital, ruptured sinus of Valsalva aneurysm [2].Aortic regurgitation occurs in 30% to 75% of patients,gitation occurs in 30% to 75% of patients,symptoms at six years of age may be due to slow butprogressive development of aortic regurgitation whichmay be on account of increasing prolapse of aortic cuspin the perimembranous VSD or the increasing size ofaneu
rysm producing valvular dysfunction. The markedlower limb can be explained by Hills sign and indicatessevere regurgitation in this case [9].aortography. With the advent of newer generation[10]. Surgery should be done as soon as rupture of sinusof Valsalva aneurysm is diagnosed because withoutsurgery most cases will die of intractable congestive heartaortic regurgitation; in this case report, the etiology was arupture of the right sinus of Valsalva aneurysm into the Dr. (Prof) NK Dubey, HOD Pediatrics andincharge PICU for providing intensive care management. DKY revised the manuscript for importantintellectual content. He will act as guarantor of the study. MKBechocardiography and doppler. The final manuscript was None; Competing Interests: None stated.1.Fazio G, Zito R, Dioco DD, Mussagy C, Loredana S,aneurysm into the pulmonary artery. Eur J Echo-2.Kirklin JW, Barratt-Boyes BG. Congenital aneurysm of3.Chu SH, Hung CR, How SS, Chang H, Wang SS, Tsai4.Shah RP, Ding ZP, Ng AS, Quek SS. A Ten-Year Review5.Gomez LL, Martin MM, Gallardo HF, Navas HC,González AC, Centeno MF. Ruptured aneurysm ofthe sinus of Valsalva in a boy with ventricular septaldefect. An Esp Pediatr. 2002;56:57-60.6.Datillo G, Tulino D, Tulino V, Lamari A, Marte F, Patanè7.Dwivedi SK, Saran RK, Sethi R. Ruptured left sinus ofValsalva aneurysm to right atrium. Indian Heart J.8.Brabram KR, Roberts WC. Fatal intrapericardial rupture9.Kutryk M, Fitchett D. Hills sign in aortic regurgitation:10.Dev V, Goswami KC, Shrivastava S, Bahl VK, Saxenaof Valsalva. Am Heart J. 1993;126:930-6.