Classic ‘wind-sock’ appearance of a right SOV aneurysm
Sinus of Valsalva (SOV) aneurysms are more common in males (4:1) and in those of Asian descent (prevalence of 0.46-3.5% in different surgical series).
SOV aneurysms are most commonly seen in the right sinus (65-85%), followed by the non-coronary sinus (10-30%), and are rare in the left sinus (<5%).
Clinically SOV aneurysms are associated with bicuspid aortic valves (~15-20%), perimenbranous VSDs (30-60%) and aortic regurgitation (50%). They can also serve as a nidus for thrombus formation.
Most ruptured SOV aneurysms occur between puberty and age 40, and are characterised by a loud continuous ‘machine-type’ murmur accentuated in diastole. Right and non-coronary SOV aneurysms typically rupture into the RV, followed by the RA (respectively), whereas left SOV aneurysms are usually less clinically significant and may rupture into the LVOT or LA.
Cardiology Tasmania has 6 specialist centres located in Derwent Park, Huonville, Oatland, Swansea, Rokeby, and Sorell. As well as our fixed locations, our cardiology specialists and consultants travel to regional and remote areas to ensure all patients have access to cardiology services regardless of where they live.
Northcare Health Centre, 254 Main Road, Derwent Park, TAS
Swansea General Practice, 37 Wellington Street, Swansea, TAS
Healthology Rokeby, 46 S Arm Rd, Rokeby, TAS
Sorell Doctors Surgery, 31 Gordon Street, TAS