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J Thorac Cardiovasc Surg 2010;139:e54-e56
© 2010 The American Association for Thoracic Surgery

Brief Clinical Report

Huge aneurysms of the aortic sinuses of Valsalva with leaflet perforation in an infant: A case report

Atsushi Kawaguchi, MD*, Kenji Waki, MD, Yoshio Arakaki, MD, Kiyoshi Baba, MD

Shizuoka Children's Hospital, Pediatric Intensive Care Center, Shizuoka, Japan

Received for publication December 27, 2007; revisions received May 25, 2008; accepted for publication July 5, 2008.

* Address for reprints: Shizuoka Children's Hospital, Pediatric Intensive Care Center, 860 Urushiyama, Aoi-ku, Szhiuoka-city, Shizuoka, 420-8660 Japan. (Email: a-kawaguchi@sch.pref.shizuoka.jp).

The first 20% of the full text of this article appears below.


   Introduction
 
Congenital aneurysm of the sinus of Valsalva (ASV) is a rare cardiovascular anomaly in infants. ASV usually affects only one aortic sinus and is silent until rupture occurs. Only a few cases of multiple ASV have been reported1-3Go and cardiac failure resulting from aortic regurgitation in an infant with ruptured ASV is very uncommon. Here, we report the case of a 5-month-old male infant with ruptured multiple ASV and severe aortic regurgitation.


   Clinical Summary
 
A 5-month-old male infant was referred to our institute for evaluation of a heart murmur. There was no family history of congenital heart disease, and the patient had no signs of growth failure and no history of infection. His vital signs were within normal limits, his appearance was good, and he had no clinical characteristics of Marfan or Ehlers-Danlos syndrome. Auscultation of the chest revealed an ejection click, a grade 2/6 systolic murmur in the second left intercostal space, and no apparent diastolic murmur. A chest x-ray film showed a slightly enlarged heart (cardiothoracic ratio: 55%) and slight lung congestion, but electrocardiographic findings were within normal limits. Initial echocardiographic and Doppler . . . [Full Text of this Article]






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