title: Multiple ruptures of left sinus of Valsalva aneurysm into main pulmonary artery.
abstract: Sinus of Valsalva aneurysm is a rare congenital glitch. We report an extremely rare case of left sinus of Valsalva aneurysm compressing and rupturing into the main pulmonary artery with 2 communications. The 34-year-old man also had severe aortic regurgitation and severe tricuspid regurgitation. He underwent successful polytetrafluoroethylene patch repair and aortic valve replacement. The rarity of this case highlights the need for a precise preoperative diagnosis, the roles of transthoracic echocardiography, transesophageal echocardiography, and 3-dimensional echocardiography, and the importance of prompt surgical management.
authors.affiliation: Department of Cardiology, Sri Venkateswara Institute of Medical Sciences, Tirupati, India.
authors.forename: Akkulagari
authors.initials: A
authors.lastname: Vamsidhar
authors.affiliation: Department of Cardiology, Sri Venkateswara Institute of Medical Sciences, Tirupati, India.
authors.forename: Durgaprasad
authors.initials: D
authors.lastname: Rajasekhar
authors.affiliation: Department of Cardiology, Sri Venkateswara Institute of Medical Sciences, Tirupati, India.
authors.forename: Velam
authors.initials: V
authors.lastname: Vanajakshamma
authors.affiliation: Department of Cardiology, Sri Venkateswara Institute of Medical Sciences, Tirupati, India cardiologysvims@gmail.com.
authors.forename: Devarakonda Sarath
authors.initials: DS
authors.lastname: Babu
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Sri Venkateswara Institute of Medical Sciences, Tirupati, India.
authors.forename: Kanchumarthi Sudhakar
authors.initials: KS
authors.lastname: Rao
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Sri Venkateswara Institute of Medical Sciences, Tirupati, India.
authors.forename: Bhan
authors.initials: B
authors.lastname: Vinod
mesh_terms: D000328:Adult; D001014:Aortic Aneurysm / Q000151:congenital / Q000000981:diagnostic imaging* / Q000601:surgery; D001019:Aortic Rupture / Q000151:congenital / Q000000981:diagnostic imaging* / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D001027:Aortography; D015150:Echocardiography, Doppler; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D011237:Predictive Value of Tests; D011651:Pulmonary Artery / Q000000981:diagnostic imaging* / Q000601:surgery; D012720:Severity of Illness Index; D012850:Sinus of Valsalva / Q000002:abnormalities / Q000000981:diagnostic imaging* / Q000601:surgery; D016896:Treatment Outcome; D014262:Tricuspid Valve Insufficiency / Q000150:complications / Q000000981:diagnostic imaging
keywords: Aneurysm; aortic regurgitation; echocardiography; pulmonary artery; sinus of valsalva