TY - JOUR
AR - SCR-2021-1-109
TI - Rupture of Sinus of Valsalva Mimicking Aortic Root Dissection: Surgical Management and Factors Influencing Immediate Survival
AU - Daniel, Grandmougin
AU - Yihua , Liu
AU - Marie-Reine , Hirschi
AU - Samia Kara , Mostefa
AU - Marie-Alix , Régnier
AU - Claire , Courrier
AU - Frédéric , Quiring
AU - Pan , Dan
AU - Juan-Pablo, Maureira
JO - Surgical Case Reports
PY - 2021
DA - Tue 19, Jan 2021
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2021.01.09
UR - https://www.sciencerepository.org/rupture-of-sinus-of-valsalva-mimicking-aortic-root-dissection_SCR-2021-1-109 
KW - Aneurysm, sinus of Valsalva, non-coronary sinus, rupture, lethal tamponade, U-shaped dacron patch
AB - 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.