Thorac Cardiovasc Surg 2013; 61(04): 327-329
DOI: 10.1055/s-0032-1311546
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Asymptomatic Ruptured Sinus of Valsalva Aneurysm Combined with Perimembranous Ventricular Septal Defect, and Bicuspid Aortic Valve in Adult Patient

Seung Hyun Lee
1   Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, University of Keimyung College of Medicine, Daegu, Republic of Korea
,
Jae Bum Kim
1   Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, University of Keimyung College of Medicine, Daegu, Republic of Korea
,
Nam Hee Park
1   Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, University of Keimyung College of Medicine, Daegu, Republic of Korea
,
Hyung Seop Kim
2   Department of Cardiology, Dongsan Medical Center, University of Keimyung College of Medicine, Daegu, Republic of Korea
,
Dong Yoon Keum
1   Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, University of Keimyung College of Medicine, Daegu, Republic of Korea
› Author Affiliations
Further Information

Publication History

14 December 2011

31 January 2012

Publication Date:
12 July 2012 (online)

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Abstract

We report the case of an adult patient with the unusual combination of a perimembranous (PM) ventricular septal defect (VSD), asymptomatic ruptured sinus of Valsalva communicating with the right ventricle, and a bicuspid aortic valve. Bulged sinus of Valsalva might conceal the small PM VSD, therefore the patient had no symptom-associated VSD until grown up. However, when aortic valve regurgitation associated with prolapsed right aortic cusp worsened and ruptured sinus of Valsalva was found by echocardiogram, the patient underwent aortic valve replacement with anatomical surgical correction of the aortic sinus and VSD.