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A Short Case Report on Ruptured Sinus of Valsalva Aneurysm.
Matta, Abhishek; Nagabandi, Arun K; Bande, Dinesh.
Affiliation
  • Matta A; Internal Medicine, University of North Dakota School of Medicine, Fargo, USA.
  • Nagabandi AK; Interventional Cardiology, Pikeville Medical Center, Pikeville, USA.
  • Bande D; Internal Medicine, University of North Dakota School of Medicine, Fargo, USA.
Cureus ; 12(9): e10263, 2020 Sep 05.
Article in En | MEDLINE | ID: mdl-33042701
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.
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