title: Cardiac tamponade due to a ruptured aneurysm of the sinus of valsalva.
abstract: OBJECTIVE
  A sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly. Rupture of a SVA often causes hemodynamic instability due to intracardiac shunting or cardiac tamponade, therefore immediate diagnosis and urgent treatment are required.
  
  
  METHODS
  We report an 18-year-old female with cardiac tamponade due to rupture of a localized aneurysm of the right coronary sinus of Valsalva. No other congenital or acquired cardiac anomalies were found. Neurological observation precluded urgent surgery with heparinization and extracorporeal circulation.
  
  
  RESULTS
  Semi-urgently the SVA was successfully resected.
  
  
  CONCLUSIONS
  Semi-urgent surgery for a ruptured aneurysm of the Sinus of Valsalva was successful. In selected cases off pump surgery can be contemplated.
authors.affiliation: Department of Cardio-thoracic Surgery, Thoraxcentre, Erasmus Medical Centre, Rotterdam, The Netherlands.
authors.forename: Arjan
authors.initials: A
authors.lastname: Weijerse
authors.forename: Marjolijn J T
authors.initials: MJ
authors.lastname: van der Schoot
authors.forename: Lex P W M
authors.initials: LP
authors.lastname: Maat
authors.forename: Tobias A
authors.initials: TA
authors.lastname: Bruning
authors.forename: Marcel L
authors.initials: ML
authors.lastname: Geleijnse
authors.forename: Ad J J C
authors.initials: AJ
authors.lastname: Bogers
mesh_terms: D000293:Adolescent; D001014:Aortic Aneurysm / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001019:Aortic Rupture / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D002305:Cardiac Tamponade / Q000209:etiology*; D004452:Echocardiography; D005260:Female; D006801:Humans; D020519:Pericardiocentesis; D012850:Sinus of Valsalva / Q000601:surgery*; D014057:Tomography, X-Ray Computed