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European Journal of Echocardiography 2006 7(3):230-232; doi:10.1016/j.euje.2005.11.003
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Copyright © 2005, The European Society of Cardiology

Rupture of a left sinus of Valsalva aneurysm into the pulmonary artery

Giovanni Fazioa,*, Rosanna Zitoa, Domingos D. Diocob, Charisade Mussagyb, Sutera Loredanaa, Albertino Damascenob and Salvatore Novoa

aDepartment of Cardiology, University of Palermo, Palermo, Italy
bDepartment of Cardiology, University of Maputo, Mozmabique

Received 9 September 2005; received in revised form 8 November 2005; accepted after revision 17 November 2005.

* Corresponding author. Department of Cardiology, University of Palermo, Palermo, Italy. Tel.: +39 091 442538. giovanni.fazio-aaaa{at}poste.it


  Abstract

Sinus of Valsalva aneurysm is a rare congenital defect and the diagnosis is usually made after it ruptures. Very few cases of non-complicated sinus of Valsalva aneurysm have been published. The anomaly most often involves the right coronary sinus and less frequently the non-coronary sinus. A case with left sinus of Valsalva has not been reported. Since the aortic valve occupies a central position in the base of the heart, rupture of a sinus of Valsalva aneurysm can occur in any of the four heart chambers. Rupture into the pulmonary artery is very rare and is mostly associated with other congenital cardiopathies.

Keywords: Sinus of Valsalva; Aneurysm; Rupture into the pulmonary artery


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