Role of cardiac MRI in complicated cardiac defects
Document Type
Report
Department
Cardiothoracic Surgery; Surgery
Abstract
Sinus of Valsalva rupture is a rare condition that results in aortocardiac shunt. Although the investigation of choice is transthoracic echocardiography, the gold standard is cardiac catheterization. We present a case of a young male with acute onset heart failure. Acute coronary syndrome blood workup was unremarkable. Transthoracic and transesophageal echocardiography revealed mild right atrial dilation with a Gerbode shunt. Right heart catheterization showed left to right shunt suggestive of acquired acute onset shunting. Eventually, a cardiac MRI revealed a ruptured sinus of Valsalva opening into the right atrium as the cause. The patient was taken to the operation theater where an aortobicaval bypass was established. A horizontal aortotomy revealed a sinus of Valsalva aneurysm arising from the right coronary sinus which was repaired using a Dacron patch. Postoperative transthoracic echocardiography showed no defect. In summary, cardiac MRI is an excellent tool for establishing a definite diagnosis for complicated cardiac defects.
Publication (Name of Journal)
Cardiovasc Imaging Asia
Recommended Citation
Khan, Y.,
Pervez, M. B.,
Fatimi, S.
(2019). Role of cardiac MRI in complicated cardiac defects. Cardiovasc Imaging Asia, 3(3), 93-95.
Available at:
https://ecommons.aku.edu/pakistan_fhs_mc_surg_cardiothoracic/167