Abstract

MONCADA PAZ, Gustavo A. et al. ANEURYSM OF RIGTH CORONARY SINUS RUPTURE OF VALSALVA IN FEMALE PATIENT: A CASE REPORT. Rev Cient Cienc Méd [online]. 2019, vol.22, n.1, pp.48-52. ISSN 2077-3323.

Aneurysms of the sinus of Valsalva are infrequent anomalies caused by discontinuity between middle tunic of aorta and the valvular ring. Generally, they are asymptomatic while they are intact, most of them are diagnosed after to a rupture. They affect with more frequency males and its rupture mostly occur in young adults; this defect can be a cause of heart failure. In some cases, can occur as sudden death. Its diagnosis requires imaging studies and its treatment is usually surgical. It is presented the case of an 18 years old female patient, who consulted for symptoms of heart failure. Upon physical examination, It was found hipotension with a displaced tip shock, murmur auscultated in all auscultatory sites and it was irradiated to left armpit, presence of jugular ingurgitation and ascites. Chest radiography revealed cardiomegaly and the transthoracic echocardiogram showed rupture of the right coronary sinus of Valsalva aneurysm. Suspect the rupture of the sinus of Valsalva aneurysm at the presence of heart failure symptoms and murmur, allows the successful correction of the defect.

Keywords : Valsalva sinus; Aneurysm; Rupture.

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