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Journal article
Echocardiographic diagnosis of rare pathological patterns of sinus of Valsalva aneurysm
PloS one, v 12(3), pp e0173122-e0173122
14 Mar 2017
PMID: 28291779
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Abstract
Objective
To evaluate the value and improve the diagnostic accuracy of echocardiography in the diagnosis of a sinus of Valsalva aneurysm (SVA) with rare pathological patterns.
Methods
Echocardiographic features and surgical findings from 270 Chinese patients with SVA treated in the last 18 years (1995-2013) at the Union Hospital were compared retrospectively; 22 of 270 cases had rare patterns.
Results
The patients with SVA, a rare origin, a rare extending position, or a rare course accounted for 3.4%, 7.4%, and 0.4% of the 270 cases, respectively. The three most common aneurysmal complications of the patients with rare patterns were severe aortic regurgitation (16), obstruction of the ventricular outflow tract or valvular orifice (3), and conduction disturbance (3). The origin, course, extending position and rupture status of the SVAs determined by echocardiography were entirely consistent with surgical findings in 81.8% of the 22 cases. With the exception of one failed diagnosis of an aneurysmal wall dissection and one misdiagnosis of a descending aortic dissection, the echocardiographic results of SVA complications and associated cardiovascular lesions were also confirmed.
Conclusion
We could accurately diagnose SVAs with rare pathological patterns by echocardiographic identification of distinguishing features. However, for several conditions, we could not accurately identify the origin or course of the aneurysm or define its relationship to adjacent structures using conventional echocardiography alone. Therefore, we recommend combining conventional echocardiography with different imaging techniques, such as transesophageal echocardiography, three-dimensional echocardiography, computed tomography angiography, and aortic angiography.
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Details
- Title
- Echocardiographic diagnosis of rare pathological patterns of sinus of Valsalva aneurysm
- Creators
- Yali Yang - Huazhong University of Science and TechnologyLi Zhang - Huazhong University of Science and TechnologyXinfang Wang - Huazhong University of Science and TechnologyQing Lu - Huazhong University of Science and TechnologyLin He - Huazhong University of Science and TechnologyJing Wang - Huazhong University of Science and TechnologyBin Wang - Huazhong University of Science and TechnologyLing Li - Huazhong University of Science and TechnologyLi Yuan - Huazhong University of Science and TechnologyJinfeng Liu - Huazhong University of Science and TechnologyShuping Ge - Huazhong University of Science and TechnologyMingxing Xie - Huazhong University of Science and Technology
- Publication Details
- PloS one, v 12(3), pp e0173122-e0173122
- Publisher
- Public Library Science
- Number of pages
- 14
- Grant note
- 81000615; 81530056; 81671705 / National Natural Science Foundation of China; National Natural Science Foundation of China (NSFC)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics; Chemistry
- Web of Science ID
- WOS:000396094700014
- Scopus ID
- 2-s2.0-85015323266
- Other Identifier
- 991019168397004721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Cardiac & Cardiovascular Systems