Congenital sinus of Valsalva aneurysm: a multiplane transesophageal echocardiographic experience

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
K Y WangC T Ting

Abstract

Sinus of Valsalva aneurysm is a rare congenital anomaly which, if overlooked, may be associated with increased mortality and morbidity. Multiplane transesophageal echocardiography proved useful in identifying a variety of associated structural heart disease. This study sought to assess the accuracy of the surgical result on the basis of the multiplane transesophageal echocardiography findings and to describe patient demographics and clinical outcome in an Oriental patient cohort. From July 1984 to December 1995, clinical, catheterization, echocardiographic, and surgical results were retrospectively studied in 23 patients with documented sinus of Valsalva aneurysm. Compared with previous reports of Oriental patients, our patient cohort was older (p < 0.025), had more associated aortic, mitral, and tricuspid regurgitation (p < 0.01), but had fewer coexistent ventricular septal defects (p < 0.01), and had more associated coronary artery disease (9%). Multiplane transesophageal echocardiography precisely showed three undiagnosed and/or ambiguous transthoracic echocardiographic studies, and the preoperative transesophageal echocardiography TEE findings were confirmed intraoperatively in the last eight consecutive patients. We conclu...Continue Reading

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Citations

Sep 4, 2007·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·R SchaefflerM Peuster
Mar 7, 2006·The International Journal of Cardiovascular Imaging·Daisuke UtsunomiyaYasuyuki Yamashita
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Sep 3, 2010·Annals of the Royal College of Surgeons of England·Annabel Sharkey, Graham Cooper

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