Journal of Perioperative Echocardiography

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VOLUME 9 , ISSUE 1 ( January-June, 2021 ) > List of Articles

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Sinus of Valsalva Aneurysm Rupturing into the Right Atrium: A Rare Case

Ravi Kishore, Arumugam Arunkumar, Mohammed Idhrees, Mohammed Ibrahim, Aju Jacob, Bashi Velayudhan

Keywords : Aortic aneurysm, Ruptured sinus of valsalva, Transesophageal echocardiography

Citation Information : Kishore R, Arunkumar A, Idhrees M, Ibrahim M, Jacob A, Velayudhan B. Sinus of Valsalva Aneurysm Rupturing into the Right Atrium: A Rare Case. J Perioper Echocardiogr 2021; 9 (1):23-25.

DOI: 10.5005/jp-journals-10034-1127

License: CC BY-NC 4.0

Published Online: 29-04-2023

Copyright Statement:  Copyright © 2021; The Author(s).


The sinus of valsalva is a small outpouching in the root of the aorta supporting the coronary arteries and the aortic leaflets. Sinus of valsalva aneurysm (SOVA) is an abnormal dilatation of the aortic root located between the aortic valve (AV) annulus and the sinotubular junction. Being a rare condition, it can be fatal if left untreated. It usually has an intracardiac course, but it sometimes protrudes into pericardial space and ruptures into right or rarely left heart chambers to form an aorta-cardiac fistula. The patient usually develops the gradual onset of dyspnea, and rhythm disturbances, if ruptured, can present as acute heart failure.

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  1. Weinreich M, Yu PJ, Trost B. Sinus of Valsalva aneurysms: review of the literature and an update on management. Clin Cardiol 2015;38(3):185–189. DOI: 10.1002/clc.22359
  2. Doost A, Craig JA, Soh SY. Acute rupture of a sinus of Valsalva aneurysm into the right atrium: a case report and a narrative review. BMC Cardiovasc Disord 2020;20(1):84. DOI: 10.1186/s12872-020-01383-7
  3. Bass D, Tivakaran VS. Sinus of Valsalva Aneurysm. [Updated 2022 Jul 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan.
  4. Parashar NK, Bhasin D, Marotrao PSK. Ruptured sinus of Valsalva aneurysm: clinical case presentation and management. Curricul Cardiol - case disc 2017;3(2):109–114. DOI: 10.4103/jpcs.jpcs_27_17
  5. Reddy C, Bhavesh V, Pavan K, et al. Diagnosis and management of a rare case of ruptured sinus of Valsalva into the right atrium. J Cardiovasc Med Cardiol 2020;7(1): 033–035. DOI: 10.17352/2455-2976.000108
  6. Dhawan I, Malik V, Sharma KP, et al. Transthoracic echocardiography versus transesophageal echocardiography for rupture sinus of Valsalva aneurysm. Ann Card Anaesth 2017;20(2):245–246. DOI: 10.4103/aca.ACA_41_17
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