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Related Experiment Videos

Continuous machinery murmur in an octogenarian.

Abhaya Gupta1, Preeti Gupta, Krishna Prasanna

  • 1Elderly Care, West Wales Hospital, Carmarthen SA31 2AF, UK. guptaabhaya@hotmail.com

Age and Ageing
|February 13, 2004
PubMed
Summary

Ruptured sinus of Valsalva aneurysm, a rare congenital heart defect, can occur in older adults. Surgical repair offers a good prognosis even in elderly patients, as demonstrated by this oldest reported case.

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Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Aneurysms

Background:

  • Sinus of Valsalva aneurysm is a rare congenital anomaly.
  • Typically presents in adolescence to early adulthood.
  • Manifestations vary from asymptomatic murmurs to sudden death.

Observation:

  • An elderly male presented with chest pain and a machinery murmur.
  • Echocardiogram confirmed a ruptured sinus of Valsalva aneurysm.
  • Emergency surgical repair was performed.

Findings:

  • The patient, the oldest reported case at presentation, underwent successful surgical repair.
  • Literature review confirmed the rarity of this condition in the elderly.
  • Urgent echocardiography is crucial for diagnosis.

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Implications:

  • Sinus of Valsalva aneurysm is treatable in older individuals.
  • Surgical repair leads to a good prognosis.
  • Highlights the importance of considering rare congenital anomalies in elderly patients with cardiac symptoms.