Aneurisma trombosado do seio de valsalva esquerdo

Detalhes bibliográficos
Autor(a) principal: Brandão, A
Data de Publicação: 2008
Outros Autores: Nabais, S, Salomé, N, Gaspar, A, Simões, A, Costeira, A, Correia, A
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.23/153
Resumo: The authors present the case of a 57-year-old asymptomatic woman, in whom a large left coronary sinus of Valsalva aneurysm was incidentally diagnosed on a routine echocardiogram in 1998. The case was initially presented to cardiac surgery consultants, and since there were no signs of rupture and the patient was asymptomatic, it was decided to keep her in close clinical and echocardiographic follow-up. Eight years later, and with no clinical manifestation in the meantime, a transesophageal echocardiogram (TEE) showed that the aneurysm was filled with swirling spontaneous echo contrast ("smoke") overlying a thrombus, which was not detected by transthoracic echocardiography. The patient then underwent surgical treatment with aortic root and aortic valve replacement and coronary reimplantation, with an excellent result. Although the need for early surgical intervention in patients with ruptured sinus of Valsalva aneurysms is well established, the optimal management of an asymptomatic, unruptured aneurysm is less clear, due to the absence of a precise natural history. The follow-up of our patient clearly demonstrated that it is mandatory to assess unruptured sinus of Valsalva aneurysms by TEE, particularly to exclude thrombotic complications. Such complications are one of the possible paths of the natural history of unruptured sinus of Valsalva aneurysms, and support the indication for early surgical treatment to avoid future complications.
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spelling Aneurisma trombosado do seio de valsalva esquerdoThrombosed aneurysm of the left sinus of ValsalvaAneurisma da AortaSeio de ValsalvaTromboseThe authors present the case of a 57-year-old asymptomatic woman, in whom a large left coronary sinus of Valsalva aneurysm was incidentally diagnosed on a routine echocardiogram in 1998. The case was initially presented to cardiac surgery consultants, and since there were no signs of rupture and the patient was asymptomatic, it was decided to keep her in close clinical and echocardiographic follow-up. Eight years later, and with no clinical manifestation in the meantime, a transesophageal echocardiogram (TEE) showed that the aneurysm was filled with swirling spontaneous echo contrast ("smoke") overlying a thrombus, which was not detected by transthoracic echocardiography. The patient then underwent surgical treatment with aortic root and aortic valve replacement and coronary reimplantation, with an excellent result. Although the need for early surgical intervention in patients with ruptured sinus of Valsalva aneurysms is well established, the optimal management of an asymptomatic, unruptured aneurysm is less clear, due to the absence of a precise natural history. The follow-up of our patient clearly demonstrated that it is mandatory to assess unruptured sinus of Valsalva aneurysms by TEE, particularly to exclude thrombotic complications. Such complications are one of the possible paths of the natural history of unruptured sinus of Valsalva aneurysms, and support the indication for early surgical treatment to avoid future complications.Sociedade Portuguesa de CardiologiaRepositório Científico do Hospital de BragaBrandão, ANabais, SSalomé, NGaspar, ASimões, ACosteira, ACorreia, A2012-02-17T14:52:05Z2008-01-01T00:00:00Z2008-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.23/153porRev Port Cardiol. 2008;27(4):485-91.info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-21T09:01:40Zoai:repositorio.hospitaldebraga.pt:10400.23/153Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:54:11.713022Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Aneurisma trombosado do seio de valsalva esquerdo
Thrombosed aneurysm of the left sinus of Valsalva
title Aneurisma trombosado do seio de valsalva esquerdo
spellingShingle Aneurisma trombosado do seio de valsalva esquerdo
Brandão, A
Aneurisma da Aorta
Seio de Valsalva
Trombose
title_short Aneurisma trombosado do seio de valsalva esquerdo
title_full Aneurisma trombosado do seio de valsalva esquerdo
title_fullStr Aneurisma trombosado do seio de valsalva esquerdo
title_full_unstemmed Aneurisma trombosado do seio de valsalva esquerdo
title_sort Aneurisma trombosado do seio de valsalva esquerdo
author Brandão, A
author_facet Brandão, A
Nabais, S
Salomé, N
Gaspar, A
Simões, A
Costeira, A
Correia, A
author_role author
author2 Nabais, S
Salomé, N
Gaspar, A
Simões, A
Costeira, A
Correia, A
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório Científico do Hospital de Braga
dc.contributor.author.fl_str_mv Brandão, A
Nabais, S
Salomé, N
Gaspar, A
Simões, A
Costeira, A
Correia, A
dc.subject.por.fl_str_mv Aneurisma da Aorta
Seio de Valsalva
Trombose
topic Aneurisma da Aorta
Seio de Valsalva
Trombose
description The authors present the case of a 57-year-old asymptomatic woman, in whom a large left coronary sinus of Valsalva aneurysm was incidentally diagnosed on a routine echocardiogram in 1998. The case was initially presented to cardiac surgery consultants, and since there were no signs of rupture and the patient was asymptomatic, it was decided to keep her in close clinical and echocardiographic follow-up. Eight years later, and with no clinical manifestation in the meantime, a transesophageal echocardiogram (TEE) showed that the aneurysm was filled with swirling spontaneous echo contrast ("smoke") overlying a thrombus, which was not detected by transthoracic echocardiography. The patient then underwent surgical treatment with aortic root and aortic valve replacement and coronary reimplantation, with an excellent result. Although the need for early surgical intervention in patients with ruptured sinus of Valsalva aneurysms is well established, the optimal management of an asymptomatic, unruptured aneurysm is less clear, due to the absence of a precise natural history. The follow-up of our patient clearly demonstrated that it is mandatory to assess unruptured sinus of Valsalva aneurysms by TEE, particularly to exclude thrombotic complications. Such complications are one of the possible paths of the natural history of unruptured sinus of Valsalva aneurysms, and support the indication for early surgical treatment to avoid future complications.
publishDate 2008
dc.date.none.fl_str_mv 2008-01-01T00:00:00Z
2008-01-01T00:00:00Z
2012-02-17T14:52:05Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.23/153
url http://hdl.handle.net/10400.23/153
dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv Rev Port Cardiol. 2008;27(4):485-91.
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dc.publisher.none.fl_str_mv Sociedade Portuguesa de Cardiologia
publisher.none.fl_str_mv Sociedade Portuguesa de Cardiologia
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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