title: Rupture of a right sinus of valsalva aneurysm into the right ventricle during vaginal delivery: a case report.
abstract: A case is reported of a right sinus of Valsalva aneurysm rupture into the right ventricle during vaginal delivery in a 34-year-old healthy woman in her third pregnancy. Pregnancy was carried to term and a healthy baby was delivered vaginally. On day 7 following vaginal delivery she was admitted to hospital for dyspnea and cough, with clinical signs of severe heart failure. The diagnosis of the right sinus of Valsalva aneurysm rupture into the right ventricle was established by transthoracic and transesophageal echocardiography. Clinical recognition and early echocardiographic diagnosis followed by immediate surgical repair proved lifesaving in our patient.
authors.affiliation: Department of Cardiovascular Diseases, University Department of Internal Medicine, University of Zagreb Dubrava University Hospital, Croatia. jvincelj@kbd.hr
authors.forename: Josip
authors.initials: J
authors.lastname: Vincelj
authors.forename: Boris
authors.initials: B
authors.lastname: Starcević
authors.forename: Ivan
authors.initials: I
authors.lastname: Sokol
authors.forename: Zeljko
authors.initials: Z
authors.lastname: Sutlić
mesh_terms: D000328:Adult; D001014:Aortic Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D001019:Aortic Rupture / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003371:Cough / Q000209:etiology; D036861:Delivery, Obstetric / Q000009:adverse effects*; D004417:Dyspnea / Q000209:etiology; D018618:Echocardiography, Doppler, Color / Q000379:methods; D017548:Echocardiography, Transesophageal / Q000379:methods; D005260:Female; D006333:Heart Failure / Q000209:etiology* / Q000601:surgery; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D035583:Rare Diseases; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging* / Q000601:surgery