title: An unusual echocardiographic finding in a ruptured sinus of Valsalva aneurysm.
abstract: A patient with a ruptured sinus of Valsalva aneurysm (RSVA) demonstrated an unusual two-dimensional echocardiographic manifestation of this entity. A discrete mass of echoes, appearing attached to a posterior leaflet of the tricuspid valve, moved to and fro into the right ventricle during diastole and into the right atrium in systole. This echocardiographic appearance mimics a vegetation of the tricuspid valve, a flail tricuspid leaflet, a right atrial myxoma or a pedunculated right atrial thrombus. Therefore, the differential diagnosis of this echocardiographic finding should include RSVA in addition to the above mentioned disorders.
mesh_terms: D000328:Adult; D001019:Aortic Rupture / Q000175:diagnosis*; D004452:Echocardiography; D005260:Female; D006801:Humans; D011859:Radiography; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging