Aravinth P Jawahar, Bayan Issa, Prashob Porayette, Mohsen Karimi, Gary S Beasley
{"title":"Congestive Heart Failure in an Adolescent With a Ruptured Sinus of Valsalva Aneurysm.","authors":"Aravinth P Jawahar, Bayan Issa, Prashob Porayette, Mohsen Karimi, Gary S Beasley","doi":"10.1177/21501351231189283","DOIUrl":null,"url":null,"abstract":"<p><p>Sinus of Valsalva aneurysm (SVA) is an abnormal dilatation of the aortic root located between the aortic valve annulus and the sinotubular junction and is rare in the pediatric population. This case report describes a unique case of a 16-year-old adolescent patient admitted with progressive heart failure symptoms and diagnosed with a ruptured noncoronary SVA. He underwent surgical repair of the SVA with autologous pericardial patches and had an uncomplicated postoperative course. A genetic workup revealed an underlying 22q11.2 deletion that is infrequently associated with SVA.</p>","PeriodicalId":23974,"journal":{"name":"World Journal for Pediatric and Congenital Heart Surgery","volume":null,"pages":null},"PeriodicalIF":1.1000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"World Journal for Pediatric and Congenital Heart Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/21501351231189283","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/9/3 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
Abstract
Sinus of Valsalva aneurysm (SVA) is an abnormal dilatation of the aortic root located between the aortic valve annulus and the sinotubular junction and is rare in the pediatric population. This case report describes a unique case of a 16-year-old adolescent patient admitted with progressive heart failure symptoms and diagnosed with a ruptured noncoronary SVA. He underwent surgical repair of the SVA with autologous pericardial patches and had an uncomplicated postoperative course. A genetic workup revealed an underlying 22q11.2 deletion that is infrequently associated with SVA.
瓦尔萨尔瓦窦动脉瘤(SVA)是主动脉根部的异常扩张,位于主动脉瓣环和窦管交界处之间,在儿童群体中非常罕见。本病例报告描述了一个独特的病例:一名 16 岁的青少年患者因出现进行性心力衰竭症状入院,被诊断为非冠状动脉 SVA 破裂。他接受了用自体心包补片修复 SVA 的手术,术后过程并不复杂。遗传学检查发现,他体内有一个 22q11.2 缺失基因,该基因很少与 SVA 相关。