{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:26:09Z","timestamp":1762867569980,"version":"3.37.3"},"reference-count":6,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,10,18]],"date-time":"2018-10-18T00:00:00Z","timestamp":1539820800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The interventricular septal dissection is an uncommon, and is occasionally associated with sinus of Valsalva aneurysm. A spontaneous dissection with a normal sinus of Valsalva is extremely rare and is mostly a result of a congenital defect. We report the case of a 23\u2010year\u2010old male admitted for complete heart block and presenting as an incidental finding during\u00a0the <jats:styled-content style=\"fixed-case\">TTE<\/jats:styled-content> multiple and huge cystic\u2010like mass in the interventricular septum (<jats:styled-content style=\"fixed-case\">IVS<\/jats:styled-content>) which is the <jats:styled-content style=\"fixed-case\">TTE<\/jats:styled-content> characteristic of <jats:styled-content style=\"fixed-case\">IVS<\/jats:styled-content> dissection. Most patients remain asymptomatic until the anatomical and hemodynamic changes lead to complications like: severe aortic regurgitation with heart failure and conduction abnormalities. Although transthoracic echocardiogram (<jats:styled-content style=\"fixed-case\">TTE<\/jats:styled-content>) has been the first\u2010line imaging modality for such findings, cardiac computed tomography (<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>) and magnetic resonance imaging have been increasingly used as supplemental or confirmatory tests. The imaging modalities showed a perforation of right sinus of Valsalva causing the expansion of the dissection to the apex. The patient underwent surgical repair with satisfying results. In conclusion, we report an extremely rare clinical case of spontaneous dissection of the interventricular septum using multiple imaging techniques and with a successful surgery.<\/jats:p>","DOI":"10.1111\/echo.14166","type":"journal-article","created":{"date-parts":[[2018,10,19]],"date-time":"2018-10-19T03:46:16Z","timestamp":1539920776000},"page":"2109-2112","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Spontaneous rupture of right aortic sinus of Valsalva leading to massive cystic dissection of interventricular septum and complete heart block"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0630-7233","authenticated-orcid":false,"given":"Hala","family":"Fennich","sequence":"first","affiliation":[{"name":"Cardiology B Department of CHU Ibn Sina  Rabat Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nawal","family":"Doghmi","sequence":"additional","affiliation":[{"name":"Cardiology B Department of CHU Ibn Sina  Rabat Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fagouri","family":"Rim","sequence":"additional","affiliation":[{"name":"Cardiology B Department of CHU Ibn Sina  Rabat Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saad","family":"Belhaj","sequence":"additional","affiliation":[{"name":"Cardiothoracic surgery department of Clinique Agdal  Rabat Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatima","family":"Cheikhi","sequence":"additional","affiliation":[{"name":"Cardiology B Department of CHU Ibn Sina  Rabat Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Cherti","sequence":"additional","affiliation":[{"name":"Cardiology B Department of CHU Ibn Sina  Rabat Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,10,18]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"105","article-title":"Dissection of the interventricular septum echocardiographic features","volume":"36","author":"Gu X","year":"2015","journal-title":"Eur Heart J"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.recesp.2015.08.015"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.3904\/kjim.2015.30.2.252"},{"key":"e_1_2_6_5_1","first-page":"560","article-title":"Aortic sinus aneurysm and associated defects: can we extrapolate a morphogenetic theory from pathologic findings?","volume":"32","author":"Angelini P","year":"2005","journal-title":"Tex Heart Inst J"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(02)00375-5"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.12659\/PJR.895017"}],"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fecho.14166","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.14166","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T03:08:37Z","timestamp":1694747317000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.14166"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10,18]]},"references-count":6,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2018,12]]}},"alternative-id":["10.1111\/echo.14166"],"URL":"https:\/\/doi.org\/10.1111\/echo.14166","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"type":"print","value":"0742-2822"},{"type":"electronic","value":"1540-8175"}],"subject":[],"published":{"date-parts":[[2018,10,18]]},"assertion":[{"value":"2018-08-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-09-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-10-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}