Sinus of Valsalva Aneurysm Rupturing into the Right Atrium: A Rare Case

JOURNAL TITLE: Journal of Perioperative Echocardiography

Author
1. Mohammed Idhrees
2. Arumugam Arunkumar
3. Aju Jacob
4. Mohammed Ibrahim
5. Bashi Velayudhan
6. Ravi Kishore
ISSN
2320-527X
DOI
10.5005/jp-journals-10034-1127
Volume
9
Issue
1
Publishing Year
2021
Pages
3
  • Article keywords
    Aortic aneurysm, Ruptured sinus of valsalva, Transesophageal echocardiography

    Abstract

    The sinus of valsalva is a small outpouching in the root of the aorta supporting the coronary arteries and the aortic leaflets. Sinus of valsalva aneurysm (SOVA) is an abnormal dilatation of the aortic root located between the aortic valve (AV) annulus and the sinotubular junction. Being a rare condition, it can be fatal if left untreated. It usually has an intracardiac course, but it sometimes protrudes into pericardial space and ruptures into right or rarely left heart chambers to form an aorta-cardiac fistula. The patient usually develops the gradual onset of dyspnea, and rhythm disturbances, if ruptured, can present as acute heart failure.

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