Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
The rupture of sinus of Valsalva aneurysm (SVA) into the pericardial cavity is extremely rare and fatal. A 52-year-old man presented with an abrupt onset of chest pain and dizziness. An echocardiography and a computed tomographic angiography revealed a giant aneurysm of the noncoronary sinus (NCS) (maximum, 70 mm) and pericardial effusion in favor of tamponade with a moderate degree of aortic insufficiency. On the way to the operating room, he suffered cardiac arrest, and extracorporeal cardiopulmonary resuscitation (ECPR) was initiated immediately. While he was prepared for surgery, the patient was supported by extracorporeal life support (ECLS) until cardiopulmonary bypass (CPB) was initiated. The sinus defect was reconstructed using a Dacron patch, followed by resection of the aneurysm. ECLS and CPB were discontinued successfully in the operating room. This study reports a case of an extracardiac rupture of SVA and the successful completion of surgery following ECPR.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1532/hsf.2325 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Near Field Communication (NFC) -assisted prehospital extracorporeal cardiopulmonary resuscitation activation: a novel tool to reduce cognitive load on emergency medical technicians.
Resusc Plus
November 2025
Department of Emergency Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan city, Taiwan.
Successful Use of Venoarterial Extracorporeal Membrane Oxygenation in Acute Drug Intoxication: Three Cases From a Single Japanese Center.
Cureus
August 2025
Emergency and Critical Care Center, Okinawa Prefectural Nanbu Medical Center and Children's Medical Center, Haebaru, JPN.
The indications for extracorporeal membrane oxygenation (ECMO) have broadened in clinical practice, and its use in circulatory failure caused by acute drug intoxication has become more frequent. We reviewed three cases of venoarterial (VA) ECMO use for intoxication at our hospital. Three cases (aged 60-69 years) developed refractory shock following intentional overdose, including calcium channel blockers.
View Article and Find Full Text PDFPediatric Transcatheter Atrial Septal Stent Removal Following ECMO Support Including Use of Novel Retrieval Device.
JACC Case Rep
September 2025
Division of Pediatric Cardiology, Department of Pediatrics, Congenital Heart Center, University of Florida, Gainesville, Florida, USA.
Left atrial (LA) decompression is often performed in patients on venoarterial extracorporeal membrane oxygenation to help offload the left ventricle. Atrial septal stents may be used to ensure the adequacy of LA decompression; however, if there is cardiopulmonary recovery and extracorporeal membrane oxygenation support is no longer needed, the stents require removal. We describe 3 pediatric patients who required venoarterial extracorporeal membrane oxygenation support and atrial septal stent placement who underwent successful transcatheter removal of the stents after cardiac recovery.
View Article and Find Full Text PDFManagement of Amniotic Fluid Embolism (AFE) using anticoagulation-free ECMO.
Z Geburtshilfe Neonatol
September 2025
Department of Critical Care Medicine, Weifang People's Hospital, Weifang, China.
Amniotic fluid embolism (AFE) is a critical obstetric complication characterized by the entry of amniotic fluid and its components into maternal circulation during parturition, leading to acute cardiopulmonary failure, disseminated intravascular coagulation (DIC), and anaphylactic shock. Affected patients typically exhibit abrupt onset, rapid progression, and exceedingly high mortality. Early recognition and prompt intervention are pivotal in AFE management.
View Article and Find Full Text PDFImpact of COVID-19 pandemic on out-of-hospital cardiac arrest patients who received extracorporeal pulmonary resuscitation.
Am J Emerg Med
August 2025
Department of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, Kobe City, Hyogo, Japan.
Background: The influence of the COVID-19 pandemic on out-of-hospital cardiac arrest (OHCA) patients who received extracorporeal pulmonary resuscitation (ECPR) has not yet been fully elucidated. We examined whether there were differences in ECPR frequency and outcomes for OHCA patients who received ECPR during the pandemic.
Methods: Using the nationwide JAAM-OHCA registry, we evaluated OHCA patients who received ECPR from 2019 to 2022.