title: Ruptured aneurysm of the sinus of valsalva into the right atrium without ventricular septal defect: a case report and literature review.
abstract: Aneurysm of the sinus of Valsalva (ASV), frequently associated with ventricular septal defect (VSD), is a rare cardiac disease that may be acquired or congenital. Rupture of an ASV, rare in the noncoronary cusp, usually produces serious hemodynamic change and carries poor prognosis if not treated surgically. We present the case of a 55-year-old female who came to us complaining of exertional dyspnea. Transthoracic echocardiography and aortography showed a noncoronary cusp ASV with rupture into the right atrium but without VSD. Because of high left to right shunt flow, she underwent successful surgical intervention with aneurysm repair approached from both the aorta and right atrium with a knitted Dacron patch. This was a rare case of noncoronary cusp involvement in ASV that ruptured into the right atrium without VSD.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors.forename: Shuo-Tsan
authors.initials: ST
authors.lastname: Lee
authors.forename: Tsung-Hsien
authors.initials: TH
authors.lastname: Lin
authors.forename: Ho-Ming
authors.initials: HM
authors.lastname: Su
authors.forename: Chaw-Chi
authors.initials: CC
authors.lastname: Chiu
authors.forename: Wen-Chol
authors.initials: WC
authors.lastname: Voon
authors.forename: Wen-Ter
authors.initials: WT
authors.lastname: Lai
authors.forename: Sheng-Hsiung
authors.initials: SH
authors.lastname: Sheu
authors.forename: Young-Tso
authors.initials: YT
authors.lastname: Lin
mesh_terms: D017542:Aneurysm, Ruptured / Q000175:diagnosis* / Q000601:surgery; D001014:Aortic Aneurysm / Q000175:diagnosis* / Q000601:surgery; D001019:Aortic Rupture / Q000175:diagnosis* / Q000601:surgery; D001027:Aortography; D004452:Echocardiography; D005260:Female; D006325:Heart Atria; D006801:Humans; D008875:Middle Aged; D012850:Sinus of Valsalva