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Aneurysm of Sinus of Valsalva Dissecting Into Interventricular Septum

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1 Aneurysm of Sinus of Valsalva Dissecting Into Interventricular Septum
Shiv Kumar Choudhary, Anil Bhan, Subhash Chandra Bose Reddy, Rajesh Sharma, Vivek Murari, Balram Airan, Arkalgud Sampath Kumar, Panangipalli Venugopal  The Annals of Thoracic Surgery  Volume 65, Issue 3, Pages (March 1998) DOI: /S (97)01432-X

2 Fig. 1 Transesophageal echocardiograms in the midesophageal view in the transverse plane (0 to 180 degrees) showing the aortic sinuses and the mouth of the aneurysm (arrow). (B) The aneurysm is burrowing into the interventricular septum. (ANE = aneurysm; AV = aortic valve; LA = left atrium; LV = left ventricle; LVOT = left ventricular outflow tract; RA = right atrium; RV = right ventricle.) The Annals of Thoracic Surgery  , DOI: ( /S (97)01432-X)

3 Fig. 2 Multiplane transesophageal echocardiograms in vertical (A) and long-axis views (B) showing the dilated sinus of Valsalva and its extension into the interventricular septum. (ANE = aneurysm; AO = aorta; AV = aortic valve; LA = left atrium; LV = left ventricle; LVOT = left ventricular outflow tract.) The Annals of Thoracic Surgery  , DOI: ( /S (97)01432-X)

4 Fig. 3 (A) Aortic root angiogram in the right anterior oblique view showing (early phase) filling of aorta (AO) with faint opacification of the aneurysm of the sinus of Valsalva (ANE). Note the calcification of the walls of the aneurysm (arrows). (B) Left coronary angiogram in the right anterior oblique view of the same patient showing displacement of the left anterior descending artery (arrows) superiorly and to the left by the dilated sinus of Valsalva. The Annals of Thoracic Surgery  , DOI: ( /S (97)01432-X)

5 Fig. 4 Aortic root angiogram in the left anterior oblique view showing the aneurysm (ANE) from the right sinus of Valsalva protruding into the interventricular septum. The plane of the interventricular septum is represented by arrows. Note the filling of the left ventricle due to aortic regurgitation. The Annals of Thoracic Surgery  , DOI: ( /S (97)01432-X)

6 Fig. 5 (A) Aortic root angiogram in the left anterior oblique view showing the aneurysm (ANE) from the right coronary sinus dissecting into the interventricular septum (arrows). The left ventricle (LV) is also filled because of regurgitation. (B) Aortic root angiogram of the same patient in the right anterior oblique view. The image of the aneurysm (ANE) is superimposed on that of the left ventricle (LV). Straight arrows represent the outline of the left ventricle, whereas curved arrows represent the outline of the aneurysm. The Annals of Thoracic Surgery  , DOI: ( /S (97)01432-X)


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