- Aneurysm of sinus of Valsalva
Name = PAGENAME
Aortalaid open to show the semilunar valves. (Aortic sinus, also known as "sinus of Valsalva", is labeled at upper right.)
DiseasesDB = 32260
ICD10 = ICD10|Q|25|4|q|20
eMedicineSubj = med
eMedicineTopic = 2133
eMedicine_mult = eMedicine2|ped|2106
Aneurysmof the aortic sinus', also known as the sinus of Valsalva, is comparatively rare, occurring in about one person in every thousand.Fact|date=November 2007 When present, it is usually in either the right (65-85%) or in the noncoronary (10-30%) sinus, rarely in the left (< 5%) sinus. This type of aneurysm is typically congenital and may be associated with heart defects. It is sometimes associated with Marfan syndromeor Loeys-Dietz syndrome, but may also result from Ehlers-Danlos syndrome, atherosclerosis, syphilis, cystic medial necrosis, chest injury, or infective endocarditis.
If unruptured, this type aneurysm may be asymptomatic and therefore go undetected until symptoms appear or
medical imagingis performed for other reasons.
Medical therapy of
aneurysmof the aortic sinusincludes blood pressurecontrol through the use of drugs, such as beta blockers. The definitive treatment is surgical repair. 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.) In 2005, NBA basketball players Ronny Turiafand Fred Hoibergunderwent successful surgery to correct enlarged aortic roots.
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