Abnormal widening of an artery is known as an aneurysm. It is usually caused by weakening of the walls of an artery. Sinus of Valsalva aneurysm (SVA) is a rare condition which can be congenital or acquired. Rupture of the sinus of Valsalva aneurysm can occur spontaneously and can be brought about abruptly by exertion, trauma, or cardiac catheterization. Symptoms often include acute chest pain, pain in the right upper quadrant, cough, difficulty breathing, swelling in the legs, and decreased urine output.
A diagnosis can often be made by your doctor with the help of imaging studies such as cine magnetic resonance imaging (MRI), multiplane transesophageal echocardiography (TEE), and two-dimensional transthoracic echocardiography (TTE).
Urgent surgical repair may be necessitated in patients with a ruptured SVA by means of primary suture closure (pledget) or patch closure. Repair can be performed percutaneously by means of transcatheter closure. Open heart surgery with aortic root repair or replacement and aortic valve repair or replacement may be required depending on the condition of the patient. Atrial or ventricular septal defect repairs may be performed in patients with septal defects. Patients with defects of the aorta may be treated with a Bentall procedure.
NMC Heartcare provides specialized and experienced cardiothoracic surgeons and the best available quality treatments. For further information regarding repair of ruptured sinus of Valsalva (RSOV), please contact NMC Heartcare.