Ruptured Valsalva aneurysm of the non-coronary cusp: a case report

Denis Mačkić; Edin Begić; Faruk Čustović; Deana Avdalović; Benjamin Palić; Salko Isaković

doi:10.15836/ccar2022.240

Authors

Denis Mačkić — General Hospital “Prim.dr. Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina — ORCID: 0000-0001-6540-4944
Edin Begić — General Hospital “Prim.dr. Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina — ORCID: 0000-0001-6842-262X
Faruk Čustović — General Hospital “Prim.dr. Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina — ORCID: 0000-0001-7254-8858
Deana Avdalović — Clinic for Internal medicine, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina — ORCID: 0000-0003-2506-9453
Benjamin Palić — Clinic for Internal medicine, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina — ORCID: 0000-0002-1119-6075
Salko Isaković — General Hospital “Prim.dr. Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina — ORCID: 0000-0002-9272-0747

Keywords

sinus of Valsalva, aneurysm, echocardiography, treatment

DOI

https://doi.org/10.15836/ccar2022.240

Full Text

**Aim**: To present a rupture of sinus of Valsalva aneurysm (SOVA) of the non-coronary cusp (NCC) in a 30-year-old female patient who was admitted for hospital treatment because of symptoms related to congestive heart failure. **Case presentation**: After transthoracic echocardiography (TTE), where the existence of a ventricular septal defect (VSD) was suspected, transesophageal echocardiography (TEE) was indicated for a patient with a diagnosis of Down syndrome. The left and right heart cavities were of regular dimensions, with preserved systolic function of the left ventricle, along with mild mitral and pulmonary regurgitation. TEE detected a SOVA of NCC, with visible communication with the right atrium, along with trileaflet aortic valve (**Figure 1**). FIGURE 1. Rupture of the noncoronary sinus of Valsalva aneurysm. **Conclusion**: SOVA is a rare congenital heart defect, which is most often detected accidentally, and due to rupture, surgical treatment is indicated (1, 2).

Literature

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