Rupture of Sinus of Valsalva Mimicking Aortic Root Dissection: Surgical Management and Factors Influencing Immediate Survival

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Author Info

Daniel Grandmougin Yihua Liu Marie-Reine Hirschi Samia Kara Mostefa Marie-Alix Régnier Claire Courrier Frédéric Quiring Pan Dan Juan-Pablo Maureira

Corresponding Author

Daniel Grandmougin
School of Surgery, Université de Lorraine

A B S T R A C T

Rupture of giant aneurysm of sinus of Valsalva usually requires surgery to prevent life-threatening complications from occurring. We report the case of a 55-year-old patient with a previous history of aortic valve replacement who was urgently referred to our institution with a superior vena cava syndrome and dyspnea. CT-scan initially misdiagnosed a dissection of the aortic root that was ultimately a contained rupture of a giant aneurysm of the non-coronary sinus of Valsalva. Despite a sudden hemodynamic deterioration with a collapse and cardiac arrest, urgent salvage surgery was successfully performed with an uneventful outcome. Physiopathogeny of hemodynamic profiles influencing immediate survival and surgical technique are discussed in this report.

Article Info

Article Type

Case Report

Publication history

Received: Wed 23, Dec 2020
Accepted: Thu 07, Jan 2021
Published: Tue 19, Jan 2021

Copyright

© 2023 Daniel Grandmougin. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2021.01.09