The Heart’s Secret Bridge: Ruptured Sinus of Valsalva Aneurysm Masquerading as a Gerbode Defect
Our case presents a 53-year-old male with type 2 diabetes and dyslipidemia presenting to the emergency department with symptoms of chest pressure, palpitations, dyspnea, and exercise intolerance. On initial imaging, an abnormal color flow signal was seen that was initially thought to be secondary to...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-07-01
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| Series: | Heart Views |
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| Online Access: | https://journals.lww.com/10.4103/heartviews.heartviews_48_24 |
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| author | Khalid Sawalha Angel Lopez-Candales |
| author_facet | Khalid Sawalha Angel Lopez-Candales |
| author_sort | Khalid Sawalha |
| collection | DOAJ |
| description | Our case presents a 53-year-old male with type 2 diabetes and dyslipidemia presenting to the emergency department with symptoms of chest pressure, palpitations, dyspnea, and exercise intolerance. On initial imaging, an abnormal color flow signal was seen that was initially thought to be secondary to a Gerbode defect. However, using more detailed imaging, cardiac computed tomography angiography suggested the possibility of a noncoronary sinus of Valsalva aneurysm (SOVA) rupture into the right atrium, making the diagnosis challenging. Finally, transesophageal echocardiography confirmed rupture of a SOVA. This case report highlights the importance of maintaining a high index of suspicion when considering rare cardiac anomalies and emphasizes the significance of using different imaging modalities to reach an accurate diagnosis. |
| format | Article |
| id | doaj-art-d805acece6db4408af2ce3e0f9fed7a9 |
| institution | Kabale University |
| issn | 1995-705X 0976-5123 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Heart Views |
| spelling | doaj-art-d805acece6db4408af2ce3e0f9fed7a92025-02-06T05:22:53ZengWolters Kluwer Medknow PublicationsHeart Views1995-705X0976-51232024-07-0125317417810.4103/heartviews.heartviews_48_24The Heart’s Secret Bridge: Ruptured Sinus of Valsalva Aneurysm Masquerading as a Gerbode DefectKhalid SawalhaAngel Lopez-CandalesOur case presents a 53-year-old male with type 2 diabetes and dyslipidemia presenting to the emergency department with symptoms of chest pressure, palpitations, dyspnea, and exercise intolerance. On initial imaging, an abnormal color flow signal was seen that was initially thought to be secondary to a Gerbode defect. However, using more detailed imaging, cardiac computed tomography angiography suggested the possibility of a noncoronary sinus of Valsalva aneurysm (SOVA) rupture into the right atrium, making the diagnosis challenging. Finally, transesophageal echocardiography confirmed rupture of a SOVA. This case report highlights the importance of maintaining a high index of suspicion when considering rare cardiac anomalies and emphasizes the significance of using different imaging modalities to reach an accurate diagnosis.https://journals.lww.com/10.4103/heartviews.heartviews_48_24aneurysmdoppler echocardiographysinuses of valsava |
| spellingShingle | Khalid Sawalha Angel Lopez-Candales The Heart’s Secret Bridge: Ruptured Sinus of Valsalva Aneurysm Masquerading as a Gerbode Defect Heart Views aneurysm doppler echocardiography sinuses of valsava |
| title | The Heart’s Secret Bridge: Ruptured Sinus of Valsalva Aneurysm Masquerading as a Gerbode Defect |
| title_full | The Heart’s Secret Bridge: Ruptured Sinus of Valsalva Aneurysm Masquerading as a Gerbode Defect |
| title_fullStr | The Heart’s Secret Bridge: Ruptured Sinus of Valsalva Aneurysm Masquerading as a Gerbode Defect |
| title_full_unstemmed | The Heart’s Secret Bridge: Ruptured Sinus of Valsalva Aneurysm Masquerading as a Gerbode Defect |
| title_short | The Heart’s Secret Bridge: Ruptured Sinus of Valsalva Aneurysm Masquerading as a Gerbode Defect |
| title_sort | heart s secret bridge ruptured sinus of valsalva aneurysm masquerading as a gerbode defect |
| topic | aneurysm doppler echocardiography sinuses of valsava |
| url | https://journals.lww.com/10.4103/heartviews.heartviews_48_24 |
| work_keys_str_mv | AT khalidsawalha theheartssecretbridgerupturedsinusofvalsalvaaneurysmmasqueradingasagerbodedefect AT angellopezcandales theheartssecretbridgerupturedsinusofvalsalvaaneurysmmasqueradingasagerbodedefect AT khalidsawalha heartssecretbridgerupturedsinusofvalsalvaaneurysmmasqueradingasagerbodedefect AT angellopezcandales heartssecretbridgerupturedsinusofvalsalvaaneurysmmasqueradingasagerbodedefect |