View source for Aneurysm of sinus of Valsalva

{{Infobox disease |
  Name           = Aneurysm of sinus of Valsalva |
  Image          = Gray497.png |
  Caption        = [[Aorta]] laid open to show the [[semilunar valves]]. (Aortic sinus, also known as "sinus of Valsalva", is labeled at upper left.) |
  DiseasesDB     = 32260 |
  ICD10          = {{ICD10|Q|25|4|q|20}}<BR>([[EUROCAT]] Q25.43) |
  ICD9           = |
  ICDO           = |
  OMIM           = |
  MedlinePlus    = |
  eMedicineSubj  = med |
  eMedicineTopic = 2133|
  eMedicine_mult = {{eMedicine2|ped|2106}} |
  MeshID         = |
}}

{{Mergefrom | rupture of aortic sinus | date=January 2010}}

'''[[Aneurysm]] of the [[aortic sinus]]''', also known as the [[sinus of Valsalva]], is comparatively rare.  When present, it is usually in either the right (65-85%) or in the noncoronary (10-30%) sinus, rarely in the left (< 5%) sinus.{{Citation needed|date=February 2009}}

==Causes==
This type of aneurysm is typically [[birth defects|congenital]] and may be associated with [[heart defects]].  It is sometimes associated with [[Marfan syndrome]] or [[Loeys-Dietz syndrome]], but may also result from [[Ehlers-Danlos syndrome]], [[atherosclerosis]], [[syphilis]], [[cystic medial necrosis]], chest injury, or infective [[endocarditis]].

==Presentation==
If unruptured, this type aneurysm may be asymptomatic and therefore go undetected until symptoms appear or [[medical imaging]] is performed for other reasons. A ruptured aneurysm leads to [[Hemopericardium]], [[hypovolemic shock]] and, if not treated within minutes, will lead to death by [[exsanguination]]. <ref>Gray's anatomy, 1902 ed.</ref>

==Treatment==
Medical therapy of [[aneurysm]] of the [[aortic sinus]] includes [[blood pressure]] control through the use of drugs, such as [[beta blockers]].

Another approach is surgical repair.<ref name="pmid11423277">{{cite journal |author=Vural KM, Sener E, Taşdemir O, Bayazit K |title=Approach to sinus of Valsalva aneurysms: a review of 53 cases |journal=Eur J Cardiothorac Surg |volume=20 |issue=1 |pages=71–6 |year=2001 |month=July |pmid=11423277 |doi= 10.1016/S1010-7940(01)00758-8|url=http://linkinghub.elsevier.com/retrieve/pii/S1010794001007588}}</ref>  The determination to perform surgery is usually based upon the diameter of the aortic root, with 5 centimeters being a rule of thumb, and the rate of increase in its size, as determined through repeated [[echocardiography]].   (A normal size, by comparison, is 2-3 centimeters.)

==Notable cases==
In 2005, NBA basketball players [[Ronny Turiaf]] and [[Fred Hoiberg]] underwent successful surgery to correct enlarged aortic roots.

==References==
{{reflist}}

==External links==
* [http://www.pie.med.utoronto.ca/TEE/TEE_content/TEE_synopses_sova.html VIRTUAL TEE - Synopsis of SOVA with video of 2D and 3D TEE]

==See also==
* [[Aortic aneurysm]]

{{Congenital vascular defects}}

{{DEFAULTSORT:Aneurysm Of Sinus Of Valsalva}}
[[Category:Cardiology]]
[[Category:Congenital disorders]]


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