Noncoronary aortic cusp rupture in an adult patient with ventricular septal defect: echocardiographic diagnosis

E M Mariucci; A Donti; F M Picchio; G D Gargiulo

doi:10.1007/s00246-011-9904-0

Noncoronary aortic cusp rupture in an adult patient with ventricular septal defect: echocardiographic diagnosis

Pediatr Cardiol. 2011 Apr;32(4):527-9. doi: 10.1007/s00246-011-9904-0. Epub 2011 Feb 17.

Authors

E M Mariucci¹, A Donti, F M Picchio, G D Gargiulo

Affiliation

¹ Pediatric Cardiology and GUCH Unit, S. Orsola-Malpighi Hospital, University of Bologna, 40138, Bologna, Italy. elisabettamariucci@gmail.com

PMID: 21327894
DOI: 10.1007/s00246-011-9904-0

Abstract

Aortic regurgitation is a common complication of ventricular septal defects. The most common mechanism is right or noncoronary cusp prolapse. Other mechanisms are right or noncoronary cusp fibrosis resulting in thickening and restricted motion of the leaflets or infective endocarditis leading to cusp perforation. We describe a case of subacute and severe aortic regurgitation due to noncoronary cusp prolapse resulting in the development of a large aneurysm and rupture of the noncoronary sinus of Valsalva into the right atrium.

Publication types

Case Reports

MeSH terms

Adult
Aortic Rupture / complications*
Aortic Rupture / diagnostic imaging
Aortic Rupture / surgery
Aortic Valve Insufficiency / diagnostic imaging*
Aortic Valve Insufficiency / etiology
Aortic Valve Insufficiency / surgery
Cardiac Surgical Procedures / methods
Diagnosis, Differential
Echocardiography, Doppler, Color / methods*
Follow-Up Studies
Heart Septal Defects, Ventricular / complications
Heart Septal Defects, Ventricular / diagnostic imaging*
Heart Septal Defects, Ventricular / surgery
Humans
Male
Sinus of Valsalva*