title: Two different presentations of sinus of valsalva aneurysm.
abstract: Sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly that can be congenital or acquired. We report 2 cases of SVA. The first case involves a 59-year-old male presenting with frequent syncope. Echocardiogram revealed a large right SVA obstructing the right ventricular outflow tract (RVOT). The second case involves a 21-year-old female presenting with sudden onset chest pain and a continuous machinery murmur. Echocardiogram revealed a ruptured right SVA into the right atrium. Although advanced percutaneous techniques have been implemented in the correction of this anomaly, open-heart surgery with or without aortic valve replacement remains the treatment of choice.
authors.affiliation: Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
authors.forename: Nishit
authors.initials: N
authors.lastname: Patel
authors.forename: Talla A
authors.initials: TA
authors.lastname: Rousan
authors.forename: Marvin D
authors.initials: MD
authors.lastname: Peyton
authors.forename: Chittur A
authors.initials: CA
authors.lastname: Sivaram
mesh_terms: D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging* / Q000601:surgery; D001014:Aortic Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging* / Q000601:surgery; D016896:Treatment Outcome; D014463:Ultrasonography; D014694:Ventricular Outflow Obstruction / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D055815:Young Adult
keywords: aneurysm; rupture; sinus of Valsalva