Ruptured sinus of Valsalva aneurysm with dynamic aortic regurgitation

被引:0
|
作者
Pollak, Angela L. [1 ]
Vega, Eleanor [1 ]
Whitacre, Meredith [1 ]
Nicoara, Alina [1 ,2 ]
机构
[1] Duke Univ, Dept Anesthesiol, Div Cardiothorac Anesthesiol, Med Ctr, Durham, NC USA
[2] Duke Univ, Med Ctr, Anesthesiol, 2301 Erwin Rd,Box 3094, Durham, NC 27710 USA
关键词
aortic regurgitation; ruptures sinus of Valsalva aneurysm; MANAGEMENT;
D O I
10.1111/echo.15502
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The ruptured sinus of Valsalva aneurysm (SVA) can present with dynamic aortic regurgitation (AR). Hemodynamic changes elicited by induction of general anesthesia can lead to dynamic AR in setting of ruptured SVA. Perioperative echocardiography is critical in understanding the etiology of AR and in guiding surgical decision-making. If the aortic valve is structurally normal, AR may resolve following patch repair of the SVA rupture defect. Conventional measures of assessing AR severity are not accurate with continuous left-to-right flow across a ruptured SVA.
引用
收藏
页码:74 / 81
页数:8
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