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.