J Cardiovasc Ultrasound.  2012 Dec;20(4):216-217. 10.4250/jcu.2012.20.4.216.

Infective Endocarditis with Dissection of Sinus of Valsalva Mimicking Type A Aortic Dissection

• Choi J
• Jo H
• Kim EJ
• Jung YK
• Suh J
• Cho YH
• Lee NH
• Seo HS

• KMID: 2177413
• DOI: http://doi.org/10.4250/jcu.2012.20.4.216

Abstract

No abstract available.

Keyword

Endocarditis; Sinus of Valsalva; Dissection

MeSH Terms

Endocarditis
Sinus of Valsalva

Figure

• 

  Fig. 1 Transthoracic echocardiography. The parasternal long axis view demonstrates an intimal flap (arrow) ranged from sinus of Valsalva to sinotubular junction, with heterogenous hypoechoic material within the flap (between arrowheads).

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  Fig. 2 Transesophageal echocardiography. Mid esophageal aortic valve short axis view demonstrates a dissection flap (arrow) with destroyed left coronary cusp of aortic valve (arrowheads).

• 

  Fig. 3 Transesophageal echocardiography. Mid esophageal aortic valve short axis view demonstrates no color Doppler signal within the flap (arrows).

Reference

1. Ikenaga S, Minami Y, Itoh H, Suzuki K, Hamano K. [Acceleration of aortic regurgitation due to localized aortic dissection; report of a case]. Kyobu Geka. 2004. 57:388–390.

2. Zhao G, Seng J, Yan B, Wei H, Qiao C, Zhao S, Zhao W, Zhi X. Diagnosis and surgical treatment of ruptured aneurysm in sinus of Valsalva. Chin Med J (Engl). 2003. 116:1047–1050.

3. Islam MN, Alimuzzaman M, Khan MN, Bashar MA, Zafar A. Ruptured aneurysm of the sinus of Valsalva. Bangladesh Med Res Counc Bull. 1996. 22:19–26.