sinus of valsalva

Summary

Summary: The dilatation of the aortic wall behind each of the cusps of the aortic valve.

Top Publications

  1. Yan F, Huo Q, Qiao J, Murat V, Ma S. Surgery for sinus of valsalva aneurysm: 27-year experience with 100 patients. Asian Cardiovasc Thorac Ann. 2008;16:361-5 pubmed
    b>Sinus of Valsalva aneurysm is a rare anomaly. This study was designed to assess the long-term outcome of surgical repair of sinus of Valsalva aneurysm and factors influencing the prognosis...
  2. Hoey E, Kanagasingam A, Sivananthan M. Sinus of valsalva aneurysms: assessment with cardiovascular MRI. AJR Am J Roentgenol. 2010;194:W495-504 pubmed publisher
    The aim of this article is to present the role of cardiovascular MRI in the assessment of sinus of Valsalva aneurysms...
  3. Mo A, Lin H. Surgical correction of ruptured aneurysms of the sinus of Valsalva using on-pump beating-heart technique. J Cardiothorac Surg. 2010;5:37 pubmed publisher
    Rupture of aneurysms of the sinus of Valsalva results in abrupt onset of congestive heart failure. On-pump beating-heart surgery may reduce cardiac impairment by maintaining coronary blood flow and avoiding cardioplegia...
  4. Lee M, Choi J, Kim K, Kim K. Surgery for anomalous origin of the left main coronary artery from the right sinus of Valsalva, in association with left main stenosis. Tex Heart Inst J. 2009;36:309-12 pubmed
    Most medical literature regarding the anomalous origin of a coronary artery from the opposite sinus of Valsalva pertains to sudden death in the young...
  5. Davies J, Burkhart H, Dearani J, Suri R, Phillips S, Warnes C, et al. Surgical management of anomalous aortic origin of a coronary artery. Ann Thorac Surg. 2009;88:844-7; discussion 847-8 pubmed publisher
    ..Anomalous aortic origin of a coronary artery (AAOCA) from the opposite sinus traveling between the aorta and pulmonary artery is associated with ischemia and sudden death...
  6. Karl T, Provenzano S, Nunn G. Anomalous aortic origin of a coronary artery: a universally applicable surgical strategy. Cardiol Young. 2010;20 Suppl 3:44-9 pubmed publisher
    ..that addresses all of the problems relating to anomalous aortic origin of a coronary artery from the wrong sinus of Valsalva. This technique includes the transection of the ascending aorta and pulmonary trunk, coronary arterial ..
  7. Brothers J, Gaynor J, Jacobs J, Caldarone C, Jegatheeswaran A, Jacobs M. The registry of anomalous aortic origin of the coronary artery of the Congenital Heart Surgeons' Society. Cardiol Young. 2010;20 Suppl 3:50-8 pubmed publisher
    The anomalous aortic origin of a coronary artery from the wrong sinus of Valsalva with interarterial, intramural, and/or intraconal course is a rare congenital anomaly that is associated with a high risk of sudden death in children...
  8. Rillig A, Meyerfeldt U, Birkemeyer R, Treusch F, Kunze M, Brasch M, et al. Catheter ablation within the sinus of Valsalva--a safe and effective approach for treatment of atrial and ventricular tachycardias. Heart Rhythm. 2008;5:1265-72 pubmed publisher
    Ablation of the aortic sinus of Valsalva in adults for ectopic atrial tachycardia (EAT) and ventricular tachycardia (VT)/premature ventricular complexes (PVCs) has been reported in only a very few patients...
  9. Elzein C, Hanhan Z, Massad M, Barth M, Muangmingsuk S, Geha A, et al. Surgical repair of anomalous coronary arteries arising from the opposite sinus of Valsalva in infants and children. J Card Surg. 2009;24:466-9 pubmed publisher
    Unroofing of anomalous coronary artery originating from the opposite sinus of Valsalva has become the procedure of choice for this congenital lesion, with surgery performed in children as young as two years old...

More Information

Publications77

  1. Tavaf Motamen H, Bannister S, Corcoran P, Stewart R, Mulligan C, DeVries W. Repair of anomalous origin of right coronary artery from the left sinus of Valsalva. Ann Thorac Surg. 2008;85:2135-6 pubmed publisher
    Anomalous origin of the right coronary artery from the left sinus of Valsalva is a rare congenital anomaly but a relatively frequent cause of sudden death in the young...
  2. Nishida K, Fukuyama O, Nakamura D. Pulmonary valve endocarditis caused by right ventricular outflow obstruction in association with sinus of valsalva aneurysm: a case report. J Cardiothorac Surg. 2008;3:46 pubmed publisher
    ..We report the first case of a pulmonary valve nonbacterial thrombotic endocarditis caused by right ventricular outlflow tract (RVOT) obstruction in association with a large sinus of Valsalva aneurysm.
  3. Ouali S, Neffeti E, Sendid K, Elghoul K, Remedi F, Boughzela E. Congenital anomalous aortic origins of the coronary arteries in adults: a Tunisian coronary arteriography study. Arch Cardiovasc Dis. 2009;102:201-8 pubmed publisher
    ..There is a lack of Tunisian data on the frequency and clinical significance of different coronary artery anomalies...
  4. Sekiguchi M, Sagawa N, Miyajima A, Hasegawa S, Yamazaki M, Kurabayashi M. Simultaneous right and left coronary occlusion caused by an extensive dissection to the coronary sinus of Valsalva during percutaneous intervention in right coronary artery. Int Heart J. 2009;50:663-7 pubmed
    ..An aortocoronary dissection induced by the forceful manipulation extended from the right to left sinus of Valsalva and occluded the ostia of both coronary arteries...
  5. Krasuski R, Magyar D, Hart S, Kalahasti V, Lorber R, Hobbs R, et al. Long-term outcome and impact of surgery on adults with coronary arteries originating from the opposite coronary cusp. Circulation. 2011;123:154-62 pubmed publisher
    An anomalous coronary artery from the opposite sinus of Valsalva may increase sudden death risk in children and young adults, and surgical intervention is often recommended...
  6. Bryniarski L, Dragan J, Dudek D. Dissection of the right coronary ostium and sinus of Valsalva during right coronary artery angioplasty. J Invasive Cardiol. 2008;20:E277-80 pubmed
    We describe a case of dissection of the coronary ostium and sinus of Valsalva during a recanalization procedure to address chronic total occlusion of the right coronary artery (RCA)...
  7. Katayama S, Umetani N, Sugiura S, Hisada T. The sinus of Valsalva relieves abnormal stress on aortic valve leaflets by facilitating smooth closure. J Thorac Cardiovasc Surg. 2008;136:1528-35, 1535.e1 pubmed publisher
    ..The purpose of this study was to compare the flow dynamics and its influence on the stress/strain in the valve leaflet in two types of aortic root, either with or without the pseudosinus, with a simulation model...
  8. Menon S, Kottayil B, Panicker V, Pillai V, Karunakaran J. Ruptured sinus of Valsalva aneurysm: 10-year Indian surgical experience. Asian Cardiovasc Thorac Ann. 2011;19:320-3 pubmed publisher
    b>Sinus of Valsalva aneurysm is a rare anomaly with a higher incidence in Eastern than Western populations. Recent improvements in diagnostic techniques have resulted in more patients undergoing surgical repair...
  9. Ottaviani G, Lavezzi A, Matturri L. Sudden unexpected death in young athletes. Am J Forensic Med Pathol. 2008;29:337-9 pubmed publisher
    ..unexpected death in a 13-year-old boy, anomalous origin of the left coronary artery from the right aortic sinus of Valsalva, anomalous location of the right coronary ostium within proper aortic sinus of Valsalva, hyperacute ..
  10. Yamada T, Lau Y, Litovsky S, Thomas McElderry H, Doppalapudi H, Osorio J, et al. Prevalence and clinical, electrocardiographic, and electrophysiologic characteristics of ventricular arrhythmias originating from the noncoronary sinus of Valsalva. Heart Rhythm. 2013;10:1605-12 pubmed publisher
    ..Idiopathic ventricular arrhythmias (VAs) can be rarely ablated from the noncoronary cusp (NCC) of the aorta...
  11. Mainwaring R, Reddy V, Reinhartz O, Petrossian E, MacDonald M, Nasirov T, et al. Anomalous aortic origin of a coronary artery: medium-term results after surgical repair in 50 patients. Ann Thorac Surg. 2011;92:691-7 pubmed publisher
    ..Controversies exist regarding the diagnosis, treatment, and long-term recommendations for patients with AAOCA. The purpose of this study is to evaluate the medium-term results of surgical repair for AAOCA...
  12. Hisatomi K, Yamada T, Odate T, Yamashita K. Intermittent coronary artery occlusion caused by a floating thrombus in the left coronary sinus of valsalva of a patient with a normal aorta and protein C deficiency. Ann Thorac Surg. 2011;92:1508-10 pubmed publisher
    ..We report a case in which a floating mass in the left coronary sinus of Valsalva caused intermittent left main coronary trunk occlusion, leading to myocardial ischemia and cardiogenic shock...
  13. Altekin R, Karakas M, Er A, Yanikoglu A, Ozbek S, Yilmaz H. Percutaneous closure of ruptured sinus of Valsalva aneursym with Amplatzer ductal occluder. Acta Cardiol. 2011;66:657-60 pubmed
    Rupture of a sinus of Valsalva aneurysm (SVA) is clinically characterized by widening of an existing sinus of Valsalva aneurysm in time and its opening to other cardiac cavities, primarily to the right atrium and right ventricle...
  14. Cuculi F, Rossi M, Bradley K, Westaby S. Rupture of a left sinus of valsalva aneurysm with coronary compression: a rare cause of ischemic chest pain. Ann Thorac Surg. 2011;92:e97-9 pubmed publisher
    ..revealed pericardial effusion and computed tomography confirmed the diagnosis of rupture of a left sinus of Valsalva aneurysm...
  15. Kumar P, Banerji A. Transcatheter closure of ruptured sinus of Valsalva aneurysm. Catheter Cardiovasc Interv. 2010;76:774-6 pubmed publisher
    Congenital sinus of Valsalva aneurysm is a rare cardiovascular anomaly. Rupture of sinus of Valsalva (RSOV) is a rare occurrence, occurring in 10-20% of cases. Rupture into right atrium is further a rare occurrence...
  16. Candemir B, Gurlek A, Baha R. Successful intervention of an anomalous right coronary artery arising from the posterior left sinus of Valsalva. J Invasive Cardiol. 2010;22:E175-6 pubmed
    Percutaneous coronary intervention (PCI) in an anomalous right coronary artery (RCA) arising from the left sinus of Valsalva can be technically difficult because selective cannulation of the vessel may not be easy...
  17. Mourad F, Tang A. Sinus of valsalva aneurysm in Blau's syndrome. J Cardiothorac Surg. 2010;5:16 pubmed publisher
    ..In isolated unruptured aneurysms of a sinus of Valsalva without compromise of the aortic valve and/or the coronary ostia, repair may be accomplished by simple ..
  18. Gleeson T, Thiessen R, Wood D, Mayo J. Single coronary artery from the right aortic sinus of Valsalva with anomalous prepulmonic course of the left coronary artery. Can J Cardiol. 2009;25:e136-8 pubmed
    ..The case of a single coronary artery with origin from a single ostium in the right sinus of Valsalva with an anomalous course of the left coronary artery anterior to the pulmonary trunk is presented...
  19. Yamada T, McElderry H, Okada T, Murakami Y, Doppalapudi H, Yoshida N, et al. Idiopathic left ventricular arrhythmias originating adjacent to the left aortic sinus of valsalva: electrophysiological rationale for the surface electrocardiogram. J Cardiovasc Electrophysiol. 2010;21:170-6 pubmed publisher
    Idiopathic ventricular arrhythmias (VAs) may be amenable to catheter ablation within or adjacent to the left sinus of Valsalva (LSOV). However, features that discriminate these sites have not been defined...
  20. Benatar A, Decraene T, Feenstra A. Ruptured sinus of Valsalva aneurysm in a child with Down syndrome: a rare cardiac anomaly. Med Sci Monit. 2010;16:CS135-7 pubmed
    As many as forty to fifty per cent of children with Down syndrome are born with a cardiac anomaly. Sinus of Valsalva aneurysm in this syndrome is extremely rare, only three previous reports, and of adult onset.
  21. Viktorsson T, Arnorsson T, Sigurdsson M, Sverrisson J, Gudbjartsson T. A giant unruptured aneurysm of the sinus of Valsalva together with ectasia of the left coronary artery. Ann Thorac Surg. 2011;92:354-6 pubmed publisher
    A sinus of Valsalva aneurysm is defined as a dilatation of the aortic sinuses, between the aortic valve annulus and the sinotubular junction. They are rare and most frequently involve the right coronary sinus...
  22. Kerkar P, Lanjewar C, Mishra N, Nyayadhish P, Mammen I. Transcatheter closure of ruptured sinus of Valsalva aneurysm using the Amplatzer duct occluder: immediate results and mid-term follow-up. Eur Heart J. 2010;31:2881-7 pubmed publisher
    ..outcome of transcatheter closure (TCC) using the first-generation Amplatzer duct occluder (ADO) in patients with ruptured sinus of Valsalva aneurysm (SOVA). Ruptured SOVA is a rare cardiac shunt lesion, with scant data about its TCC.
  23. Opolski M, Pregowski J, Kruk M, Witkowski A, Kwiecinska S, Lubienska E, et al. Prevalence and characteristics of coronary anomalies originating from the opposite sinus of Valsalva in 8,522 patients referred for coronary computed tomography angiography. Am J Cardiol. 2013;111:1361-7 pubmed publisher
    ..ability to depict potentially malignant features of anomalous coronary artery originating from the opposite sinus of Valsalva (ACAOS), there are limited data on the significance of ACAOS in the computed tomography population...
  24. Barry M, Seeck B, Virgilio C, Woodard P. Left main coronary anomaly arising from the right sinus of Valsalva-interarterial, septal, or a continuum?. J Thorac Imaging. 2008;23:31-4 pubmed publisher
    ..report a case of a 47-year-old woman with an anomalous left main coronary artery that arises from the right sinus of Valsalva where multidetector computed tomography angiography was key to the diagnosis and provided additional ..
  25. El Menyar A, Das K, Al Suwaidi J. Anomalous origin of the three coronary arteries from the right aortic sinus Valsalva: role of MDCT coronary angiography. Int J Cardiovasc Imaging. 2006;22:723-9 pubmed
    ..Monocuspal origin of all three coronary artery from the RCS is a rare anomaly, can be reliably diagnosed by MDCT. CT angiogram is a convenient complementary tool for the coronary arteriography. ..
  26. Masaki Y, Sumiyoshi M, Suwa S, Ohta H, Matsunaga E, Tamura H, et al. Localized dissection of the sinus of valsalva without coronary artery involvement during percutaneous coronary intervention. Int Heart J. 2005;46:323-6 pubmed
    Dissection of the sinus of Valsalva is an extremely rare accident during percutaneous coronary intervention (PCI), but it can lead to serious complications such as dissection of the ascending aorta...
  27. Cui W, Van Bergen A, Patel D, Javois A, Roberson D. Transcatheter closure of ruptured sinus of valsalva aneurysm and secundum atrial septal defect with limited inferior rim. Echocardiography. 2008;25:208-13 pubmed publisher
    We report a case of a 33-year-old man with Down syndrome and ruptured sinus of Valsalva aneurysm (SOVA) plus large ostium secundum atrial septal defect (ASD) with attenuated inferior rim...
  28. Zhao G, Seng J, Yan B, Wei H, Qiao C, Zhao S, et al. Diagnosis and surgical treatment of ruptured aneurysm in sinus of Valsalva. Chin Med J (Engl). 2003;116:1047-50 pubmed
    To evaluate the methods used to diagnose and surgically treat ruptured aneurysm in sinus of Valsalva (RASV)...
  29. Batiste C, Bansal R, Razzouk A. Echocardiographic features of an unruptured mycotic aneurysm of the right aortic sinus of Valsalva. J Am Soc Echocardiogr. 2004;17:474-7 pubmed
    ..endocarditis in this patient was complicated by the development of a mycotic aneurysm of the right aortic sinus of Valsalva. Transthoracic and transesophageal echocardiographic studies were useful for the diagnosis of this rare ..
  30. Kazui T, Izumoto H, Yoshioka K, Kawazoe K. Dynamic morphologic changes in the normal aortic annulus during systole and diastole. J Heart Valve Dis. 2006;15:617-21 pubmed
    ..The lengths of the aortic annulus, sinus of Valsalva and sinotubular junction (STJ) were also measured in systole and diastole on longitudinal views...
  31. Yilmaz A, Yalta K, Turgut O, Yilmaz M, Karadas F, Erdem A, et al. The left anterior descending artery arising from the right sinus of Valsalva: a case report. Adv Ther. 2007;24:178-81 pubmed
    ..commonly encountered anomaly, the circumflex artery originating from the right coronary artery or the right sinus of Valsalva, is usually well tolerated...
  32. Frommelt P, Frommelt M, Tweddell J, Jaquiss R. Prospective echocardiographic diagnosis and surgical repair of anomalous origin of a coronary artery from the opposite sinus with an interarterial course. J Am Coll Cardiol. 2003;42:148-54 pubmed
    ..Unroofing the intramural segment without bypass grafting can reliably repair the intramural form of AOCA. ..
  33. Angelini P, Velasco J, Ott D, Khoshnevis G. Anomalous coronary artery arising from the opposite sinus: descriptive features and pathophysiologic mechanisms, as documented by intravascular ultrasonography. J Invasive Cardiol. 2003;15:507-14 pubmed
    Anomalous coronary artery originating from the opposite sinus of Valsalva (ACAOS) can cause syncope, myocardial infarction, and sudden death in the absence of critical, fixed stenosis...
  34. Kusuyama T, Nakamura Y, Yamagishi H, Shimada K, Watanabe H, Muro T, et al. Unruptured aneurysm of the sinus of valsalva with Behçet's disease. Circ J. 2002;66:107-8 pubmed
    ..He was diagnosed with unruptured aneurysm of the sinus of Valsalva, and surgical closure of the orifice of the aneurysm was performed...
  35. Kunimasa T, Sato Y, Ichikawa M, Ito S, Takagi T, Lee T, et al. MDCT detection of double right coronary artery arising from a single ostium in the right sinus of Valsalva: report of 2 cases. Int J Cardiol. 2007;115:239-41 pubmed
    Double right coronary artery arising from a single ostium in the right sinus of Valsalva is an extremely rare coronary artery variation...
  36. Fernandes E, Kadivar H, Hallman G, Reul G, Ott D, Cooley D. Congenital malformations of the coronary arteries: the Texas Heart Institute experience. Ann Thorac Surg. 1992;54:732-40 pubmed
    ..from the left anterior descending artery, and 10 had a coronary artery arising from the contralateral sinus of Valsalva. All patients with an anomaly of termination had a coronary arteriovenous fistula, and all patients with an ..
  37. Ohata T, Miyamoto Y, Takahashi T, Ichikawa H, Kagisaki K, Matsuda H. Sinus of valsalva aneurysm with congenital aortic stenosis and aortic coarctation. Asian Cardiovasc Thorac Ann. 2004;12:75-7 pubmed
    A 52-year-old female was diagnosed with the extremely rare combination of sinus of Valsalva aneurysm, congenital unicuspid aortic valve stenosis, and coarctation of the aorta. She was successfully treated in a two-stage operation...
  38. Rosenberger P, Cohn L, Fox J, Locke A, Shernan S. Sinus of valsalva aneurysm obstructing the right ventricular outflow tract. Anesth Analg. 2006;102:1660-1 pubmed
  39. Nunes M, Gelape C, Barbosa F, Barros M, Chequer G, Oliveira E, et al. Sinus of valsalva aneurysm with dissection into the interventricular septum. Echocardiography. 2008;25:102-4 pubmed publisher
  40. Pitta S, Kondur A, Afonso L. Quadricuspid aortic valve associated with unruptured sinus of Valsalva aneurysm. Eur J Echocardiogr. 2008;9:575-6 pubmed publisher
    ..It may present as an isolated anomaly but is occasionally associated with aortic regurgitation. Sinus of Valsalva aneurysm (SVA) is also an infrequent congenital anomaly, typically associated with tricuspid aortic valves...
  41. Tada H, Naito S, Miyazaki A, Oshima S, Nogami A, Taniguchi K. Successful catheter ablation of atrial tachycardia originating near the atrioventricular node from the noncoronary sinus of Valsalva. Pacing Clin Electrophysiol. 2004;27:1440-3 pubmed
    ..With detailed mapping at the aortic sinus of Valsalva using a retrograde transaortic approach, the earliest atrial activation was found in the noncoronary sinus ..
  42. Angelini P, Flamm S. Newer concepts for imaging anomalous aortic origin of the coronary arteries in adults. Catheter Cardiovasc Interv. 2007;69:942-54 pubmed
    ..kinds of coronary anomalies observed in adults, anomalous origin of a coronary artery from the opposite sinus of Valsalva with an "interarterial" course (ACAOS) entails a high risk of clinical consequences related to the ..
  43. Feldman D, Gade C, Roman M. Ruptured aneurysm of the right sinus of valsalva associated with a ventricular septal defect and an anomalous coronary artery. Tex Heart Inst J. 2005;32:555-9 pubmed
    Aneurysms of the sinus of Valsalva are extremely rare...
  44. Oe K, Mori K, Konno T, Yoneda T, Ueyama K, Yamagishi M. Ruptured aneurysm of the sinus of Valsalva with Wildervanck syndrome (cervico-oculo-acoustic syndrome), blepharoptosis and short stature: case report. Circ J. 2007;71:1485-7 pubmed
    ..Aortography revealed that an aneurysm of the right coronary sinus of Valsalva had ruptured into the right ventricle. Coronary angiography revealed a single coronary artery...
  45. Osaki M, McCrindle B, Van Arsdell G, Dipchand A. Anomalous origin of a coronary artery from the opposite sinus of Valsalva with an interarterial course: clinical profile and approach to management in the pediatric population. Pediatr Cardiol. 2008;29:24-30 pubmed
    An anomalous origin of a coronary artery from the opposite sinus of Valsalva with an interarterial course (interarterial coronary artery [IACA]) is a rare congenital anomaly associated with sudden cardiac death...
  46. Chang C, Chiu S, Wu E, Tsai S, Wu M, Wang J. Transcatheter closure of a ruptured sinus of valsalva aneurysm. Circ J. 2006;70:1043-7 pubmed
    Ruptured sinus of Valsalva aneurysms (RSVA) can be associated with ventricular septal defects or isolated lesions. Surgical repair has been the traditional treatment of for the RSVA...
  47. Romp R, Herlong J, Landolfo C, Sanders S, Miller C, Ungerleider R, et al. Outcome of unroofing procedure for repair of anomalous aortic origin of left or right coronary artery. Ann Thorac Surg. 2003;76:589-95; discussion 595-6 pubmed
    Anomalous aortic origin of a coronary artery (AAOCA) from an incorrect sinus of Valsalva is a relatively rare congenital defect and is associated with sudden death...
  48. Gowda R, Chamakura S, Dogan O, Sacchi T, Khan I. Origin of left main and right coronary arteries from right aortic sinus of Valsalva. Int J Cardiol. 2003;92:305-6 pubmed
  49. Jean W, Kang T, Liu C, Chang C, Tsai S, Wang J. Transcatheter occlusion of ruptured sinus of Valsalva aneurysm guided by three-dimensional transesophageal echocardiography. J Formos Med Assoc. 2004;103:948-51 pubmed
    Transcatheter occlusion of ruptured sinus of Valsalva aneurysm (RSVA) is an alternative strategy to traditional conventional surgical repair...
  50. Wang Z, Zou C, Li D, Li H, Wang A, Yuan G, et al. Surgical repair of sinus of Valsalva aneurysm in Asian patients. Ann Thorac Surg. 2007;84:156-60 pubmed
    b>Sinus of Valsalva aneurysm is a rare cardiac anomaly, and the difference between Asian and Western countries in its occurrence is not well established...
  51. Moustafa S, Mookadam F, Cooper L, Adam G, Zehr K, Stulak J, et al. Sinus of Valsalva aneurysms--47 years of a single center experience and systematic overview of published reports. Am J Cardiol. 2007;99:1159-64 pubmed
    ..to review demographic data, clinical presentation, outcomes, and long-term results of surgical repair of sinus of Valsalva aneurysms (SVAs). SVAs are a rare anomaly. Surgery is the treatment of choice...
  52. Jung S, Yun T, Im Y, Park J, Song H, Lee J, et al. Ruptured sinus of Valsalva aneurysm: transaortic repair may cause sinus of Valsalva distortion and aortic regurgitation. J Thorac Cardiovasc Surg. 2008;135:1153-8 pubmed publisher
    Recurrent or newly developing aortic regurgitation is a critical problem after the repair of ruptured sinus of Valsalva aneurysm.
  53. Unlu M, Ozeke O, Kara M, Yesillik S. Ruptured sinus of Valsalva aneurysm associated with noncompaction of the ventricular myocardium. Eur J Echocardiogr. 2008;9:311-3 pubmed
    Rupture of a sinus of Valsalva aneurysm is a rare, but life-threatening cardiac abnormality that requires surgical correction when diagnosed, and is frequently associated with other congenital defects, particularly with ventricular ..
  54. Lijoi A, Parodi E, Passerone G, Scarano F, Caruso D, Iannetti M. Unruptured aneurysm of the left sinus of valsalva causing coronary insufficiency: case report and review of the literature. Tex Heart Inst J. 2002;29:40-4 pubmed
    Aneurysm of the left sinus of Valsalva is extremely rare. Compression of the left coronary artery by such an aneurysm is an unusual complication of this condition and can cause coronary insufficiency...
  55. Daniels D, Lu Y, Morton J, Santucci P, Akar J, Green A, et al. Idiopathic epicardial left ventricular tachycardia originating remote from the sinus of Valsalva: electrophysiological characteristics, catheter ablation, and identification from the 12-lead electrocardiogram. Circulation. 2006;113:1659-66 pubmed
    ..ablation for treatment of idiopathic ventricular tachycardia (VT), occasional patients have been reported in whom VT could not be ablated from the right or left ventricular endocardium or from the aortic sinus of Valsalva (ASOV).
  56. Kutay V, Ekim H, Yakut C. Surgical repair of postoperative left sinus of Valsalva aneurysm dissecting into the interventricular septum. Ann Thorac Surg. 2005;79:341-3 pubmed
    We describe the dissection of the interventricular septum by unruptured aneurysm of the left sinus of Valsalva in a patient who had undergone aortic valve replacement for rheumatic aortic valve insufficiency 5 years previously...
  57. Yip H, Wu C, Yeh K, Fu M. Extensive dissection to the right sinus of Valsalva in coronary angioplasty: case report. Chang Gung Med J. 2000;23:296-302 pubmed
    ..However, right coronary dissection and retrograde extension to the aortic sinus of Valsalva is extremely unusual during an interventional procedure...
  58. Sivasankaran S, Kannan B, Kumar A, Tharakan J. Coexistence of congenital subaortic and sinus of valsalva aneurysms. Indian Heart J. 2002;54:432-4 pubmed
    We report a rare association of an aneurysm of the sinus of Valsalva and a subaortic aneurysm. Congenital defective union of the aortic wall and ventricular muscle with the fibrous ring is probably the explanation for this condition.
  59. Harkness J, Fitton T, Barreiro C, Alejo D, Gott V, Baumgartner W, et al. A 32-year experience with surgical repair of sinus of valsalva aneurysms. J Card Surg. 2005;20:198-204 pubmed
    b>Sinus of Valsalva (SoV) aneurysms are rare (0.15% to 1.5% CPB cases) and five times more frequent in Asians...
  60. Kim C, Park C, Jin U, Lee B, Song K. Evaluation of unroofing procedure of anomalous origin of right coronary artery from left sinus of valsalva between aorta and pulmonary trunk by multidetector computed tomography. J Comput Assist Tomogr. 2005;29:752-5 pubmed
    ..tomography could be used effectively in the diagnosis and evaluation of the postoperative status of a patient with an anomalous origin of the right coronary artery from the left sinus of Valsalva between the aorta and pulmonary trunk.
  61. Lee S, Lin T, Su H, Chiu C, Voon W, Lai W, et al. Ruptured aneurysm of the sinus of valsalva into the right atrium without ventricular septal defect: a case report and literature review. Kaohsiung J Med Sci. 2005;21:517-21 pubmed
    Aneurysm of the sinus of Valsalva (ASV), frequently associated with ventricular septal defect (VSD), is a rare cardiac disease that may be acquired or congenital...
  62. Sasson L, Katz M, Ezri T, Tamir A, Rozenman Y, Geva Y, et al. Ruptured sinus of Valsalva aneurysm complicated by myocardial ischemia: pathogenetic mechanisms. Cardiovasc Pathol. 2006;15:291-293 pubmed publisher
    ..with severe aortic regurgitation (AR) accelerates the development of symptoms after rupture of congenital sinus of Valsalva aneurysm (SVA) in spite of intact coronary arteries...
  63. Patel K, Gupta H, Nath H, Aqel R, Zoghbi G, Soto B, et al. Origin of all three major coronary arteries from the right sinus of Valsalva: clinical, angiographic, and magnetic resonance imaging findings and incidence in a select referral population. Catheter Cardiovasc Interv. 2007;69:711-8 pubmed
    ..and imaging features by coronary angiography and cardiac magnetic resonance imaging (MRI) of anomalies in which the right, circumflex, and left anterior descending coronary arteries arise separately from the right sinus of Valsalva.
  64. Makaryus A, Orlando J, Katz S. Anomalous origin of the left coronary artery from the right coronary artery: a rare case of a single coronary artery originating from the right sinus of Valsalva in a man with suspected coronary artery disease. J Invasive Cardiol. 2005;17:56-8 pubmed
  65. Chockalingam A, Gnanavelu G, Alagesan R, Subramaniam T. Congenital submitral aneurysm and sinus of valsalva aneurysm. Echocardiography. 2004;21:325-8 pubmed
    ..Complete diagnosis was made by transthoracic echocardiography...
  66. Rao P, Bromberg B, Jureidini S, Fiore A. Transcatheter occlusion of ruptured sinus of valsalva aneurysm: innovative use of available technology. Catheter Cardiovasc Interv. 2003;58:130-4 pubmed
    A 9-year-old boy was found to have ruptured sinus of Valsalva aneurysm (RSVA) and aortic coarctation...
  67. Dogan S, Gursurer M, Aydin M, Gocer H, Cabuk M, Dursun A. Myocardial ischemia caused by a coronary anomaly left anterior descending coronary artery arising from right sinus of Valsalva. Int J Cardiol. 2006;112:e57-9 pubmed
    ..Left circumflex artery and the diagonal branches were arising from the left main coronary artery and the whole coronary tree were free of atherosclerosis...
  68. Kanagaratnam L, Tomassoni G, Schweikert R, Pavia S, Bash D, Beheiry S, et al. Ventricular tachycardias arising from the aortic sinus of valsalva: an under-recognized variant of left outflow tract ventricular tachycardia. J Am Coll Cardiol. 2001;37:1408-14 pubmed
    ..To describe a normal heart left bundle branch block, inferior axis ventricular tachycardia (VT), that could not be ablated from the right or left ventricular outflow tracts...