PMC5492701_01
Two-dimensional echocardiogram short-axis view of the aortic valve showing an aneurysm at the non-coronary sinus of Valsalva measuring 1.94 cm x 2.57 cm. LA, left atrium; RA, right atrium; AV, aortic valve.
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F1
Two-dimensional echocardiogram short-axis view of the aortic valve (A) with color flow Doppler (B) showing a fistula between the non-coronary sinus of Valsalva aneurysm and the RA. LA, left atrium; RA, right atrium; AV, aortic valve; Asterix, sinus of Valsalva aneurysm; RV, right ventricle.
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F2
Image demonstrating the non-coronary sinus of Valsalva aneurysm communicating with the RA. RA, right atrium; Asterix, sinus of Valsalva aneurysm.
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F3
TTE. Substantial communication between the ascending aorta and the RA was identified and the decision was made to avoid placing a pulmonary arterial catheter, which potentially could access the SOVA-RA fistula (Figures 3 and 4) and cause aortic injury. Cardiopulmonary bypass was then instituted after adequate systemic anticoagulation with heparin. The orifice of the SOVA was repaired with a bovine pericardial patch successfully.
Panel demonstrating the non-coronary sinus of Valsalva aneurysm form the perspective of the aortic root (A) and the perspective of the right atrium (B). Asterix, sinus of Valsalva aneurysm-to-right atrial fistulas.
fmed-04-00095-g004.jpg
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F4
TTE. Substantial communication between the ascending aorta and the RA was identified and the decision was made to avoid placing a pulmonary arterial catheter, which potentially could access the SOVA-RA fistula (Figures 3 and 4) and cause aortic injury. Cardiopulmonary bypass was then instituted after adequate systemic anticoagulation with heparin. The orifice of the SOVA was repaired with a bovine pericardial patch successfully.