Unruptured right coronary sinus to left ventricle aneurysm diagnosed by cross sectional echocardiography

A 37 year old Chinese man presenting with features of chest infection was diagnosed as having severe aortic regurgitation. Cross sectional echocardiography showed an intact right coronary sinus of Valsalva aneurysm, which protruded into the left ventricle. The changes in appearance of the aneurysm during the cardiac cycle were recorded by cross sectional echocardiography. The opening of the aneurysm was successfully closed and the aortic valve replaced with a mechanical prosthesis.