Multimodality delineation of a fistulous ruptured sinus of Valsalva aneurysm: a teaching case report.

ABSTRACT:

Background

Ruptured sinus of Valsalva (SOV) is a rare cardiac anomaly with poor prognosis if untreated. Early diagnosis with accurate delineation of its anatomy is critical for timely treatment and choice of surgical vs. percutaneous intervention. Here we report a case of fistulous rupture of SOV; the preoperative multimodality studies including echocardiography, cardiac magnetic resonance and cardiac catheterization provided teaching and learning points.

Case summary

A 48-year-old man with history of heart murmur and hypertension presented with a 5-day history of shortness of breath and peripheral oedema. He was diagnosed with rapid atrial flutter. The transthoracic and transesophageal echocardiography showed severe biventricular systolic dysfunction with a left-to-right sh

SUBMITTER: Zhou R 

PROVIDER: S-EPMC9356725 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature