Repair of Ruptured Sinus of Valsalva Aneurysm: Rare Cause of Acute Onset Congestive Heart Failure in Down’s Syndrome

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Author Info

Alejandro E. Contreras Alejandro R. Peirone Ignacio Juaneda

Corresponding Author

Ignacio Juaneda
Congenital Heart Surgery Department, Hospital Privado Universitario de Córdoba, Argentina

A B S T R A C T

A 20-year-old boy with Down´s syndrome presented to the emergency department with new onset acute heart failure. Right side chest effusion and cardiomegaly was observed on chest x-ray. A mobile aneurysmal sac protruding into the right atrium was detected and a ruptured aneurysm of the right coronary sinus of Valsalva was observed in transthoracic echocardiogram. Cardiac angiography catheterization confirmed the diagnosis. Surgical repair consisting of aneurysm resection and defect closure was performed shortly after with pericardium reinforced suture through the right atrium. The patient was discharged uneventfully.

Article Info

Article Type

Research Article

Publication history

Received: Wed 03, Jun 2020
Accepted: Tue 16, Jun 2020
Published: Mon 22, Jun 2020

Copyright

© 2023 Ignacio Juaneda. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.JICOA.2020.03.10