Title
Sinus of Valsalva Aneurysms: Review of the Literature and an Update on Management
Publication Date
2015
Journal Title
Clin Cardiol
Abstract
Sinus of Valsalva aneurysm (SOVA), a congenital or acquired cardiac defect that is present in roughly 0.09% of the general population, often presents as an incidental finding during cardiac imaging. Although an echocardiogram is the standard imaging technique for such findings, cardiac computed tomography angiography (CCTA) has been increasingly utilized. If SOVA is diagnosed, CCTA is also a useful test for patients who are at low to intermediate risk for coronary artery disease (CAD) prior to surgical repair. CCTA can accurately rule out CAD, obviating the need for invasive angiography in most cases, which may be more risky in SOVA patients because their coronaries may be more difficult to engage and their aortic root may be more prone to injury. Although surgery has previously been the treatment of choice, transcatheter techniques have added to the spectrum of nonsurgical alternatives for repair. We report here 4 incidental SOVA cases and review the current literature.
Volume Number
38
Issue Number
3
Pages
185-189
Document Type
Article
EPub Date
2015/03/12
Status
Faculty; Northwell Researcher
Facility
School of Medicine; Northwell Health
Primary Department
Cardiology
Additional Departments
Cardiovascular and Thoracic Surgery
PMID
DOI
10.1002/clc.22359