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European Journal of Echocardiography 2008 9(2):301-302; doi:10.1016/j.euje.2006.10.008
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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

A multi-perforated man: Asymptomatic ruptured sinus of Valsalva aneurysm associated with an atrial and ventricular septal defect

David Attias1, David Messika-Zeitoun1,*, Agnès Cachier1, Eric Brochet1, Jean-Michel Serfaty2, Jean-Pierre Laissy2, Ulrik Hvass3 and Alec Vahanian1

1 Cardiology Department, AP-HP, Bichat Hospital, 75018 Paris, France
2 Radiology Department, AP-HP, Bichat Hospital, Paris, France
3 Cardiac Surgery Department, AP-HP, Bichat Hospital, Paris, France

Received 10 August 2006; accepted after revision 30 October 2006; online publish-ahead-of-print 2 January 2007.

* Corresponding author. Tel: +33 01 40 25 66 01; fax: +33 0140 25 67 32. E-mail address: david.messika-zeitoun{at}bch.ap-hop-paris.fr


  Abstract

We report the case of an exceptional association of a right coronary sinus of Valsalva aneurysm (SVA) ruptured into the right ventricle, a supracristal ventricular septal defect (VSD) and an atrial septal defect (ASD). Our patient was totally asymptomatic and the diagnosis was established by echocardiography. The patient underwent prompt surgery that consisted in closing the aneurysm and the VSD with a pericardium patch.

Keywords: Sinus of Valsalva aneurysm; Atrial septal defect; Ventricular septal defect; Echocardiography


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