title: Very late recurrence of sinus of Valsalva aneurysm rupture after patch repair.
abstract: BACKGROUND
  Sinus of Valsalva aneurysm (SVA) is an uncommon cardiac defect accounting for only 1% of congenital cardiac anomalies and the most common complication is ruptured into the atrium or ventricle. Very late recurrence of ruptured SVA after patch repair is extremely rare.
  
  
  METHODS
  We present a case of 57-year-old man had received repair for ruptured Sinus of Valsalva aneurysm at 19 ages. In the clinics, he presented with exertional dyspnea and leg swelling. The serial examination disclosed he had bicuspid aortic valve and very late rupture of SVA connecting to right atrium. After surgical repair again, he was discharged smoothly.
  
  
  CONCLUSIONS
  A very late recurrence of ruptured SVA after surgical repair was rare. We reported a case with unique echocardiographic presentation and a successful repair.
authors.forename: Ting-Tse
authors.initials: TT
authors.lastname: Lin
authors.forename: Hsiao-En
authors.initials: HE
authors.lastname: Tsai
authors.forename: Lin
authors.initials: L
authors.lastname: Lin
authors.forename: Tsung-Yan
authors.initials: TY
authors.lastname: Chen
authors.forename: Cheng-Pin
authors.initials: CP
authors.lastname: Lee
authors.affiliation: Division of Cardiology, Department of Internal Medicine, National Taiwan University College of Medicine and Hospital Hsin-Chu Branch, No,25, Ln, 442, Sec, 1, Jingguo Rd,, North Dist,, Hsinchu City 300, Taiwan. chihchengwumd@gmail.com.
authors.forename: Chih-Chen
authors.initials: CC
authors.lastname: Wu
mesh_terms: D001019:Aortic Rupture / Q000175:diagnosis / Q000601:surgery*; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000637:transplantation*; D011475:Prosthesis Failure; D012008:Recurrence; D012086:Reoperation; D012850:Sinus of Valsalva; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D018616:Ultrasonography, Doppler, Duplex; D014656:Vascular Surgical Procedures / Q000379:methods*