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European Journal of Echocardiography 2005 6(1):64; doi:10.1016/j.euje.2004.08.001
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Copyright © 2005, The European Society of Cardiology

Asymptomatic ruptured sinus of valsalva aneurysm into the right ventricle

Ozeke Ozcan*, Tufekcioglu Omac, Geyik Bilal, Yildiz Ali and Yetim Mucahit

Yuksek Ihtisas Hospital, Department of Cardiology, Ankara, Turkey

Received 25 July 2004; accepted after revision 15 September 2004.

* Corresponding author. Tel.: C90 312 3632761. E-mail address: ozcanozeke{at}hotmail.com (O. Ozeke).

Keywords: Ruptured sinus of; Valsalva aneurysm; Right ventricle

A 32-year-old man, admitted for inguinal hernia repair, was referred for preoperative cardiac evaluation because of a continuous murmur. He had no past history of cardiovascular disease and no cardiac complaints. Blood pressure was normal, 110/70 mmHg. Auscultation revealed a grade V/VI continuous murmur along the right sternal border. No other abnormalities were found. Chest X-ray was unremarkable and the electrocardiogram was normal with sinus rhythm, 74 beats per minute. Two-dimensional echocardiography revealed rupture of an aneurysm of right coronary sinus into right ventricle (Fig. 1). Surgical repair was performed and the patient made an uneventful recovery.


Figure 1
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  		Figure 1 Two dimensional echocardiography in the parasternal long axis view shows the ruptured sinus of Valsalva aneurysm into the right ventricle (arrow) (LV: left ventricle; LA: left atrium; Ao: Aorta; RV: right ventricle).

 

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This Article
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