Aneurysm of the left sinus of Valsalva with fistula to the right atrium

Report of a case

Wei-Chuan Tsai, Yi-Heng Li, L. J. Lin, J. K. Teng, Liang-Miin Tsai, T. Y. Huang, H. Chen, Y. J. Yang

Research output: Contribution to journalArticle

Abstract

Congenital aneurysm of the left sinus of Valsalva with a fistula draining into the right atrium is rarely seen clinically. We report a case of a 15-year-old girl with this congenital anomaly that was diagnosed by echocardiography and aortography. The patient was asymptomatic but was found incidentally to have a grade III/VI continuous heart murmur at a routine check-up. Transthoracic echocardiograms showed an aneurysmal dilatation of the left sinus of Valsalva with a fistula running posteriorly behind the aortic root and draining into the right atrium. Cardiac catheterization revealed that the calculated pulmonary to systemic flow ratio was 3:1. The left anterior descending and left circumflex arteries arose from the aneurysm with separated orifices. The patient underwent open heart surgery and recovered well.

Original languageEnglish
Pages (from-to)92-94
Number of pages3
JournalJournal of Medical Ultrasound
Volume6
Issue number2
Publication statusPublished - 1998 Jan 1

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Sinus of Valsalva
Heart Atria
Fistula
Aneurysm
Heart Murmurs
Aortography
Cardiac Catheterization
Thoracic Surgery
Echocardiography
Dilatation
Arteries
Lung

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

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abstract = "Congenital aneurysm of the left sinus of Valsalva with a fistula draining into the right atrium is rarely seen clinically. We report a case of a 15-year-old girl with this congenital anomaly that was diagnosed by echocardiography and aortography. The patient was asymptomatic but was found incidentally to have a grade III/VI continuous heart murmur at a routine check-up. Transthoracic echocardiograms showed an aneurysmal dilatation of the left sinus of Valsalva with a fistula running posteriorly behind the aortic root and draining into the right atrium. Cardiac catheterization revealed that the calculated pulmonary to systemic flow ratio was 3:1. The left anterior descending and left circumflex arteries arose from the aneurysm with separated orifices. The patient underwent open heart surgery and recovered well.",
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Aneurysm of the left sinus of Valsalva with fistula to the right atrium : Report of a case. / Tsai, Wei-Chuan; Li, Yi-Heng; Lin, L. J.; Teng, J. K.; Tsai, Liang-Miin; Huang, T. Y.; Chen, H.; Yang, Y. J.

In: Journal of Medical Ultrasound, Vol. 6, No. 2, 01.01.1998, p. 92-94.

Research output: Contribution to journalArticle

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