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An Unusual Case of Left Sinus of Valsalva Rupture Into Right Atrium

Zain Ul Abideen Asad1, David Huard2, Tarun W Dasari1

  • 1Cardiovascular Disease Section, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.

JACC. Case Reports
|July 28, 2021
PubMed

Insights

A college athlete experienced shortness of breath due to a ruptured sinus of Valsalva. Surgical repair was successful in treating this rare cardiac condition.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Medical Imaging

Background:

  • Sinus of Valsalva aneurysms are rare congenital or acquired cardiac abnormalities.
  • Rupture into the right atrium is an uncommon but serious complication.
  • Aortic root abnormalities can present with diverse clinical manifestations.

Purpose of the Study:

  • To report a case of left sinus of Valsalva rupture into the right atrium in a young athlete.
  • To highlight the diagnostic modalities and successful surgical management of this condition.

Main Methods:

  • Diagnostic workup included transesophageal echocardiography (TEE), coronary angiography, and computed tomography (CT) heart scan.
  • Surgical resection was performed for definitive treatment.

Main Results:

  • A 19-year-old college athlete presented with dyspnea.
  • Imaging confirmed a rupture of the left sinus of Valsalva into the right atrium.
  • Successful surgical resection was performed.

Conclusions:

  • Left sinus of Valsalva rupture into the right atrium is a rare cause of dyspnea in young adults.
  • Multimodality imaging is crucial for accurate diagnosis.
  • Surgical intervention offers a definitive treatment option.

Keywords:
CT, computed tomographycomputed tomographycoronary angiographyshortness of breath

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