A Short Case Report on Ruptured Sinus of Valsalva Aneurysm

Abhishek Matta; Arun K Nagabandi; Dinesh Bande

doi:10.7759/cureus.10263

A Short Case Report on Ruptured Sinus of Valsalva Aneurysm

Cureus. 2020 Sep 5;12(9):e10263. doi: 10.7759/cureus.10263.

Authors

Abhishek Matta¹, Arun K Nagabandi², Dinesh Bande¹

Affiliations

¹ Internal Medicine, University of North Dakota School of Medicine, Fargo, USA.
² Interventional Cardiology, Pikeville Medical Center, Pikeville, USA.

Abstract

A 35-year-old woman without any history of congenital heart disease presented to our clinic with dyspnea on exertion. Transthoracic echocardiogram (TTE) showed an eccentric tricuspid regurgitant jet and increased right ventricular systolic pressure. Transesophageal echocardiogram (TEE) revealed a sinus of Valsalva aneurysm (SVA) arising from the noncoronary sinus that ruptured into the right atrium, leading to the formation of an aorto-right atrial fistula. Right heart catheterization confirmed left to right shunt. The fistulous tract was resected, and the aneurysm repaired surgically. The patient made a good recovery.

Keywords: aorto-atrial fistula; aorto-right atrial fistula; left to right shunt; percutaneous closure of ruptured sinus of valsalva aneurysm; ruptured sinus of valsalva aneurysm; sinus of valsalva aneurysm.

Publication types

Case Reports