Congenital Sinus of Valsalva Aneurysm Questions

This lesion may be related to abnormal development of the bulbus cordis.

Most aneurysms are diagnosed prior to rupture.

Non-coronary sinus aneurysms most commonly rupture into the right ventricle.

Left coronary sinus aneurysms most commonly rupture into the left atrium or left ventricle.

Sinus of Valsalva aneuryms are less common in Asian populations.

Question 2: Which of the following statements is true regarding the clinical features of congenital sinus of Valsalva aneurysm?

Aortic insufficiency is uncommon.

Myocardial ischemia can occur from coronary artery compression.

Less than 25% of patients have an associated congenital lesion.

VSDs are most commonly associated with left coronary sinus aneurysms.

Rupture of these aneurysms is easily recognized by the acute onset of symptoms.

Question 3: Which of the following statements is true regarding operative management of congenital sinus of Valsalva aneurysm?

Asymptomatic patients with small ruptured aneurysms can be followed with serial echocardiography.

Direct suture closure of the aneurysm orifice is preferred to patch closure.

VSD repair is best performed through the aorta.

Reoperation is primarily for progressive aortic insufficiency.