Online Journal
IF値: 1.878(2021年)→1.8(2022年)


Journal of Medical Ultrasonics

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1999 - Vol.26

Vol.26 No.11

Original Article(原著)

(1111 - 1117)

Echocardiographic Observation before and after Rupture of an Aneurysm of the Sinus of Valsalva associated with Ventricular Septal Defect

Eimei SHIMOIKE1, Nobuhito YANAGI1, Norihiro UEDA1, Toru MARUYAMA1, Yoshikazu KAJI1, Shozo KANAYA2, Takehiko FUJINO2, Reiko MASAKI1, Yoshiyuki NIHO1

1First Department of Internal Medicine, Kyushu University School of Medicine, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan, 2Institute of Health Science, Kyushu University, 6-1 Kasuga Park, Kasuga-shi, Fukuoka 816-0811, Japan

キーワード : Aneurysm of the sinus of Valsalva, Echocardiography, Ventricular arrhythmia, Ventricular septal defect

A 22-year-old man was admitted for the evaluation of ventricular septal defect (VSD) associated with aneurysm of the sinus of Valsalva. The diagnosis of an unruptured aneurysm of the right sinus of Valsalva associated with high VSD was confirmed by echocardiography and cineangiography. The patient felt palpitation while awaiting surgery on the outpatient bases 3 weeks after he had been discharged. Echocardiography and ECG monitoring confirmed rupture of the aneurysm of the sinus of Valsalva associated with ventricular arrhythmia. This case demonstrates the usefulness of transthoracic as well as transesophageal echocardiography associated with Doppler color flow mapping in detecting aneurysm of the sinus of Valsalva, and, further, that incidental aneurysm of the sinus of Valsalva is a candidate for emergent open-heart surgery.