O Seu Saber Ocupa um Lugar! DSpace

Repositório Comum >
HB - Hospital de Braga >
HB - Cardiologia >
HB - CAR - Artigos >

Please use this identifier to cite or link to this item: http://comum.rcaap.pt/handle/123456789/1979

Título: Aneurisma trombosado do seio de valsalva esquerdo
Outros títulos: Thrombosed aneurysm of the left sinus of Valsalva
Autor: Brandão, A
Nabais, S
Salomé, N
Gaspar, A
Simões, A
Costeira, A
Correia, A
Palavras-chave: Aneurisma da Aorta
Seio de Valsalva
Trombose
Issue Date: 2008
Editora: Sociedade Portuguesa de Cardiologia
Citação: Rev Port Cardiol. 2008;27(4):485-91.
Resumo: The authors present the case of a 57-year-old asymptomatic woman, in whom a large left coronary sinus of Valsalva aneurysm was incidentally diagnosed on a routine echocardiogram in 1998. The case was initially presented to cardiac surgery consultants, and since there were no signs of rupture and the patient was asymptomatic, it was decided to keep her in close clinical and echocardiographic follow-up. Eight years later, and with no clinical manifestation in the meantime, a transesophageal echocardiogram (TEE) showed that the aneurysm was filled with swirling spontaneous echo contrast ("smoke") overlying a thrombus, which was not detected by transthoracic echocardiography. The patient then underwent surgical treatment with aortic root and aortic valve replacement and coronary reimplantation, with an excellent result. Although the need for early surgical intervention in patients with ruptured sinus of Valsalva aneurysms is well established, the optimal management of an asymptomatic, unruptured aneurysm is less clear, due to the absence of a precise natural history. The follow-up of our patient clearly demonstrated that it is mandatory to assess unruptured sinus of Valsalva aneurysms by TEE, particularly to exclude thrombotic complications. Such complications are one of the possible paths of the natural history of unruptured sinus of Valsalva aneurysms, and support the indication for early surgical treatment to avoid future complications.
Arbitragem científica: yes
URI: http://comum.rcaap.pt/handle/123456789/1979
Appears in Collections:HB - CAR - Artigos

Files in This Item:

File Description SizeFormat
Seio de Valsalva.pdf197,46 kBAdobe PDFView/Open
Statistics
FacebookTwitterDeliciousLinkedInDiggGoogle BookmarksMySpaceOrkut
Formato BibTex mendeley Endnote Logotipo do DeGóis 

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

 

© 2014 - REPOSITÓRIO COMUM - Comentários - Statistics
Promotores do RCAAP   Financiadores do RCAAP

Fundação para a Ciência e a Tecnologia Universidade do Minho   Governo Português Ministério da Educação e Ciência PO Sociedade do Conhecimento (POSC) Portal oficial da União Europeia