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European Journal of Echocardiography 2008 9(1):173-174; doi:10.1016/j.euje.2007.07.004
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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

Giant ruptured sinus of Valsalva aneurysm: diagnosis on echocardiography

Suneil Kumar Aggarwal*, Ramachandra Barik,, Jai Kumar Agarwal,, Vijay Sai and V. Ramnath Iyer

Department of Cardiology, Sri Sathya Sai Institute of Higher Medical Sciences, Prashantigram, AP 515134, India

Received 14 June 2007; accepted after revision 16 July 2007; online publish-ahead-of-print 10 September 2007.

* Corresponding author. Tel: +91 9440 699299; fax: +91 8555 287181. E-mail address: suneilaggarwal{at}doctors.net.uk


  Abstract

A giant ruptured sinus of Valsalva aneurysm was diagnosed on transthoracic and subsequent transesophageal echocardiography, in a 45-year-old man who presented with gradual onset shortness of breath. Although the initial presentation was insidious, he later rapidly deteriorated. We discuss the unusual clinical course in a patient with such a large aneurysm and discuss the likely reasons.

Keywords: Congenital heart disease; Rupture; Aneurysm


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