Windsock pattern

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]


Windsock pattern or windsock lesion is one of the signs of left ventricular outflow tract aneurysm.

Diagnosis

Echocardiography

  • Windsock pattern: Mitral Valve Left Atrium into Left Ventricular Outflow Tract 1

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  • Windsock pattern: Mitral Valve Left Atrium into Left Ventricular Outflow Tract 2

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  • Windsock pattern: Mitral Valve Left Atrium into Left Ventricular Outflow Tract 3

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  • Windsock pattern: Mitral Valve Left Atrium into Left Ventricular Outflow Tract 4

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Pathomorphological Images

Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology




Additional Resources

  • Brabram KR, Roberts WC. Fatal intrapericardial rupture of sinus of valsalva aneurysm. Am Heart J 1990; 120 (6 Pt 1): 1455-6.
  • Edwards JE, Burchell HB. The pathological anatomy of the deficiencies between the aortic root and the heart including aortic sinus aneurysms. Thorax 1957; 12: 125-39.
  • Tesler UF, Fiorilli R, Lisanti P. Repair of a ruptured sinus of valsalva aneurysm associated with annulo-aortic ectasia and coarctation of the aorta in a patient with Marfan s syndrome. Tex Heart Inst J 1997; 24 (2): 134-8.
  • Koh KK, Lee KH, Kim SS, Lee SC, Jin SH, Cho SW. Ruptured aneurysm of the sinus of valsalva in a patient with Behcet s disease. Int J Cardiol 1994; 47 (2): 177-9.
  • Hurley J, McGovern E. Rupture of a sinus of valsalva aneurysm due to aspergillus endocarditis. J Cardiovasc Surg (Torino) 1994; 35 (1): 75-7.
  • Bansal RC, Wangsnes KM, Bailey L. Right aortic sinus of valsalva to right ventricle fistula complicating bacterial endocarditis of membranous ventricular septal defect. J Am Soc Echocardiogr 1993; 6 (3 Pt 1): 308-11.
  • Murral EG, Minami K, Kortke H, Seggewiss H, Korfer R. Traumatic sinus of valsalva fistula and aortic valve rupture. Ann Thorac Surg 1993; 55 (3): 760-1.
  • Cooperberg P, Mercier EN, Mulder D, Winsberg GF. Rupture of a sinus of valsalva aneurysm. Report of a case diagnosed pre-operatively by echocardiography. Radiology 1974; 113: 171-2.
  • Wang KY, St John Sutton M, Ho HY, Ting CT. Congenital sinus of valsalva aneurysm: a multiplane transoesophageal experience. J Am Soc Echocardiogr 1997; 10 (9): 956-63.
  • Kulan K, Kulan C, Tuncer C, Komsuoglu, B, Zengin M. Echocardiography and magnetic resonance imaging of sinus of valsalva aneurysm with rupture into the ventricle. J Cardiovasc Surg (Torino) 1996; 37 (6): 639-41.
  • Sakakibara S, Konno S. Congenital aneurysm of the sinus of valsalva: anatomy and classification. Am Heart J 1962; 63: 405-24.
  • Dev V, Goswami KC, Shrivastava S, Bahl VK, Saxena A. Echocardiographic diagnosis of aneurysm of the sinus of valsalva. Am Heart J 1993; 126 (4): 930-36.
  • Isomura T, Hisatomi K, Hirano A, Satho T, Kosuga K, Ohishi K. Ruptured aneurysms of the sinus of valsalva. J Cardiovasc Surg (Torino) 1994; 35 (2): 135-8.
  • Lukacs L, Bartek I, Haan A, Hankoczy J, Arvay A. Ruptured aneurysms of the sinus of valsalva. Eur J Cardiothorac Surg 1992; 6 (1): 15-7.
  • Van Son JA, Danielson GK, Schaff HV, Orszulak TA, Edwards WD, Seward JB. Long term outcome of surgical repair of ruptured sinus of valsalva. Circulation 1994; 90 (5 Pt 2): II20-9.
  • Jeyamalar R, Kannan P. Ruptured aneurysms of the sinus of valsalva. Med J Malaya 1991; 46 (4): 371-5.




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