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European Journal of Echocardiography 2008 9(1):186-187; doi:10.1016/j.euje.2007.07.010
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org

Rupture of an aneurysm of the noncoronary sinus of Valsalva into the right atrium

Felix Guenther*, Constantin von zur Muhlen, Jens Lohrmann, Christoph Bode and Annette Geibel

Department of Cardiology and Angiology, University Hospital of Freiburg, Hugstetter Strasse 55, 79106 Freiburg, Germany

Received 12 July 2007; accepted after revision 29 July 2007; online publish-ahead-of-print 1 October 2007.

* Corresponding author: Tel: +49 270 3441; fax: +49 270 3200. E-mail address: felix.guenther{at}uniklinik-freiburg.de


  Abstract

A 32-year-old woman presented to the emergency department after the sudden onset of palpitations, dyspnoea and left-sided tinnitus. Echocardiography revealed a ruptured aneurysm of the noncoronary sinus of Valsalva into the right atrium. Due to deterioration of right heart failure with rapidly progressive decline of systemic blood pressure, the patient underwent immediate surgery with a patch repair of the ruptured aneurysm. A few days later, the patient was discharged home in good condition.

Keywords: Sinus Valsalva; Ruptured aneurysm; Congestive heart failure; Echocardiography


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