title: Multiple ruptured aneurysm of left sinus of valsalva: a rare entity.
abstract: Aneurysm of sinus of Valsalva is a rare congenital cardiac defect that can present with myriad signs and symptoms ranging from trivial to catastrophic events like cardiogenic shock and death. As clinical examination is not entirely reliable and the patient can sometimes be so ill as to preclude cardiac catheterization, echocardiography has become the definitive investigative tool not only to define and diagnose the lesion but also to quantify its severity. The following is a case report of multiple aneurysms of the left aortic sinus of Valsalva rupturing into the left ventricle. Diagnosis is made on multi plane transesophageal echocardiography and color Doppler regarding precise identification of structural anomalies and shunt locations for perioperative assessment and definitive treatment is surgical repair.
authors.affiliation: Department of Cardiac Anaesthesia, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Anju
authors.initials: A
authors.lastname: Sarupria
authors.forename: Poonam Malhotra
authors.initials: PM
authors.lastname: Kapoor
authors.forename: Usha
authors.initials: U
authors.lastname: Kiran
authors.forename: Milind
authors.initials: M
authors.lastname: Hote
mesh_terms: D000293:Adolescent; D001014:Aortic Aneurysm / Q000175:diagnosis* / Q000601:surgery; D001019:Aortic Rupture / Q000175:diagnosis* / Q000601:surgery; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D012850:Sinus of Valsalva; D018615:Ultrasonography, Doppler, Color