Aneurysm of sinus of Valsalva
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| Aneurysm of sinus of Valsalva | |
| Classification and external resources | |
| Aorta laid open to show the semilunar valves. (Aortic sinus, also known as "sinus of Valsalva", is labeled at upper left.) | |
| ICD-10 | Q25.4 (EUROCAT Q25.43) |
| DiseasesDB | 32260 |
| eMedicine | med/2133 ped/2106 |
Aneurysm of the aortic sinus, also known as the sinus of Valsalva, is comparatively rare. When present, it is usually in either the right (65-85%) or in the noncoronary (10-30%) sinus, rarely in the left (< 5%) sinus.[citation needed]
Contents |
[edit] Causes
This type of aneurysm is typically congenital and may be associated with heart defects. It is sometimes associated with Marfan syndrome or Loeys-Dietz syndrome, but may also result from Ehlers-Danlos syndrome, atherosclerosis, syphilis, cystic medial necrosis, chest injury, or infective endocarditis.
[edit] Presentation
If unruptured, this type aneurysm may be asymptomatic and therefore go undetected until symptoms appear or medical imaging is performed for other reasons.
[edit] Treatment
Medical therapy of aneurysm of the aortic sinus includes blood pressure control through the use of drugs, such as beta blockers.
Another approach is surgical repair.[1] The determination to perform surgery is usually based upon the diameter of the aortic root, with 5 centimeters being a rule of thumb, and the rate of increase in its size, as determined through repeated echocardiography. (A normal size, by comparison, is 2-3 centimeters.)
[edit] Notable cases
In 2005, NBA basketball players Ronny Turiaf and Fred Hoiberg underwent successful surgery to correct enlarged aortic roots.
[edit] References
- ^ Vural KM, Sener E, Taşdemir O, Bayazit K (July 2001). "Approach to sinus of Valsalva aneurysms: a review of 53 cases". Eur J Cardiothorac Surg 20 (1): 71–6. PMID 11423277. http://linkinghub.elsevier.com/retrieve/pii/S1010794001007588.
[edit] See also
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