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Segura-Méndez, R. Arnold, Y. Carrascal" "autores" => array:3 [ 0 => array:4 [ "nombre" => "B." "apellidos" => "Segura-Méndez" "email" => array:1 [ 0 => "barbaraseg@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Arnold" ] 2 => array:2 [ "nombre" => "Y." "apellidos" => "Carrascal" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Cirugía Cardiovascular, Hospital Clínico de Valladolid, Valladolid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Aneurisma del seno de Valsalva causante de cierre espontáneo de defecto del tabique ventricular congénito" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 3028 "Ancho" => 1874 "Tamanyo" => 553846 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">A</span>: Transesophageal echocardiogram: right SVA (white arrow) protruding into the RV and dynamically closing the VSD. <span class="elsevierStyleBold">B</span>: Flow through the VSD (white arrow). <span class="elsevierStyleBold">C:</span> CT: the VSD masked by SVA. <span class="elsevierStyleBold">D</span>: right SVA (black arrow) prolapsing into the RV. <span class="elsevierStyleBold">E</span>: Surgical image of the right SVA (white arrow) and perimembranous VSD (red arrow). <span class="elsevierStyleBold">F</span>: Inverted aneurysmal ruptured (white arrow) into the RV.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">26-year-old man was admitted for flu-like symptoms, jugular ingurgitation and a systolic–diastolic machinery murmur. Echocardiogram exposed a right sinus of Valsalva aneurysm (SVA) prolapsing into the right ventricle (RV) through a membranous ventricular septal defect (VSD) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A), with a Qp/Qs:1.7 (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). CT confirmed the VSD (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C) and the prolapse of the SVA into RV (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D). Intraoperatively, a perimembranous VSD (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>E-red arrow) and an SVA (2 cm) ruptured into the RV (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>E-white arrow) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>F-white arrow, everted aneurysm) were observed. Both were closed by interposition of a patch of bovine pericardium. Reviewing the medical history, he was diagnosed in his childhood with a VSD that disappeared at 8-year-old. The SVA grow provided the spontaneous hemodynamic closure of VSD.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0010" class="elsevierStylePara elsevierViewall">This research received no specific grant from any funding agency in the public, commercial, or non-for-profit sectors.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicts of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">No conflicts.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Ethical standards</span><p id="par0020" class="elsevierStylePara elsevierViewall">It is not a trial.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Informed consent</span><p id="par0025" class="elsevierStylePara elsevierViewall">Informed consent was obtained from the patient.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicts of interest" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Ethical standards" ] 3 => array:2 [ "identificador" => "sec0020" "titulo" => "Informed consent" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 3028 "Ancho" => 1874 "Tamanyo" => 553846 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">A</span>: Transesophageal echocardiogram: right SVA (white arrow) protruding into the RV and dynamically closing the VSD. <span class="elsevierStyleBold">B</span>: Flow through the VSD (white arrow). <span class="elsevierStyleBold">C:</span> CT: the VSD masked by SVA. <span class="elsevierStyleBold">D</span>: right SVA (black arrow) prolapsing into the RV. <span class="elsevierStyleBold">E</span>: Surgical image of the right SVA (white arrow) and perimembranous VSD (red arrow). <span class="elsevierStyleBold">F</span>: Inverted aneurysmal ruptured (white arrow) into the RV.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000007100000008/v1_202410020528/S2341192923002044/v1_202410020528/en/main.assets" "Apartado" => array:4 [ "identificador" => "66475" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23411929/0000007100000008/v1_202410020528/S2341192923002044/v1_202410020528/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192923002044?idApp=UINPBA00004N" ]
Journal Information
Vol. 71. Issue 8.
Pages 631-632 (October 2024)
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Vol. 71. Issue 8.
Pages 631-632 (October 2024)
Image of the month
Valsalva sinus aneurysm leading to spontaneous closure in congenital ventricular septal defect
Aneurisma del seno de Valsalva causante de cierre espontáneo de defecto del tabique ventricular congénito
B. Segura-Méndez
, R. Arnold, Y. Carrascal
Corresponding author
Departamento de Cirugía Cardiovascular, Hospital Clínico de Valladolid, Valladolid, Spain
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