"Aneurysmal sinus of Valsalva" and possible heart failure?
I'm a 41 yr old female, 5'7" 135 lbs, non-smoker, have suffered from ankle swelling and fatigue for 15 years, infrequent shortness of breath for 10 years, doctors have ruled out kidney problems as a a cause of the edema, and was given inhalers for the "asthma" although no pulmonary function test was ever done. 5 years ago, I was told I have a heart murmur, but no follow-up testing was done.
In the last 2 years, the edema, shortness of breath and fatigue has worsened, especially after exercise. After walking a couple of miles I often just collapse on the sofa and fall asleep. This never used to be the case, but I guess it came on so gradually I haven't really noticed until now. Now, after eating, I'm often exhausted. I often have "air hunger", even at night when trying to sleep; have always thought it was asthma and taken my inhaler. Occasionally I startle awake at night coughing, feeling like I'm choking/not breathing. Symptoms are worse in hot and humid weather and when I don't get enough sleep.
A year ago, doctor ordered an Echocardiogram wih Dopplar, which she did not follow up on so I assumed it was normal. However I just obtained a copy of the results and noticed they included: "Aneurysmal Sinus of Valsalva". (It also included "mild insufficiency" of the Tricuspid valve.) Everything else appears normal (to me, anyway). Given my symptoms, should I be concerned about either, especially the "Aneurysmal Sinus of Valsalva"?
This is one of the rare congenital diseases. In this the sinus of aortic valve can get widened/dilated and its called the aneurysm and usually they are asymptomatic and no intervention is required. However, the medical treatment consists of ensuring a normal blood pressure by giving beta blockers and surgical intervention is only entertained if the diameter of the aortic root is > 5cm. I sincerely hope that helps. Take care.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.