<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-4142</journal-id>
<journal-title><![CDATA[Revista Costarricense de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. costarric. cardiol]]></abbrev-journal-title>
<issn>1409-4142</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Cardiología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-41422014000200025</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Aneurisma del seno de valsalva sin ruptura en un paciente adulto]]></article-title>
<article-title xml:lang="en"><![CDATA[Unruptured sinus of valsalva aneurysm in adult patient]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reátegui]]></surname>
<given-names><![CDATA[Francisco Enrique Malca]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garita]]></surname>
<given-names><![CDATA[José Alejandro Sanabria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Molina]]></surname>
<given-names><![CDATA[Edgar Fuentes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital San Juan de Dios  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital San Juan de Dios  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2014</year>
</pub-date>
<volume>16</volume>
<numero>2</numero>
<fpage>25</fpage>
<lpage>31</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-41422014000200025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-41422014000200025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-41422014000200025&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:Los aneurismas de los senos de Valsalva son dilataciones de la pared aórtica localizadas entre el anillo valvular aórtico y la unión sinotubular de la aorta ascendente; su denominación está en relación con las arterias coronarias, por lo que se designan como seno coronario derecho, seno coronario izquierdo y seno no coronario. Asimismo, representa una entidad clínica poco frecuente, que puede ser congénita (mayoritariamente) o adquirida y su complicación más frecuente es la rotura hacia las cámaras derechas. La mayoría se diagnostican subsiguientes a una rotura, pero algunos se diagnostican de forma incidental en algún estudio de imagen o durante cirugía cardiaca por otra patología. El curso natural del aneurisma sin ruptura es desconocido, sin embargo en el caso de un aneurisma roto el promedio de supervivencia es de 3,9 años. No existe un consenso en cuanto a la técnica quirúrgica más apropiada para reparar los aneurismas del seno de Valsalva, aunque se pueden tomar decisiones con base en la experiencia de otros centros. Se presenta una revisión del tema a pro pósito de un paciente que presentó aneurisma del seno de Valsalva sin ruptura en un Hospital de tercer nivel de San José.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[AbstractThe sinus of Valsalva aneurysms are dilations of the aortic wall located between the aortic valve annulus and the sinotubular junction of the ascending Aorta. Their designation comes from the corresponding coronary sinus (right, left or non-coronary). It is a rare clinical entity that may be congenital (most frequent) or acquired. It is most common complication is rupture into the right heart chambers, after which, unfortunately, the majority are diagnosed. There are however, those diagnosed before rupture as an incidental finding detected in imaging tests for other purposes or during cardiac surgery of another lesion. Unlike the ruptured aneurysm, which has a median survival of 3.9 years, the natural history of an un-ruptured aneurysm is unknown. To date, a consensus about the best surgical repair technique has not been reached, however decision-making is possible guided by experience-based practices in more experienced centers. We present a literature review inspired by a patient diagnosed with an un-ruptured sinus of Valsalva aneurysm at a hospital in San José, Costa Rica.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Aneurisma]]></kwd>
<kwd lng="es"><![CDATA[Seno aórtico]]></kwd>
<kwd lng="es"><![CDATA[Ruptura]]></kwd>
<kwd lng="en"><![CDATA[aneurysm]]></kwd>
<kwd lng="en"><![CDATA[Valsalva]]></kwd>
<kwd lng="en"><![CDATA[rupture]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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