An Interesting Case of Ruptured Sinus of Valsalva of Right Coronary Sinus with a Missed Vsd and the Role of Intraoperative Tee-A Mandatory Life Saving Tool

Le résumé fourni par la source

Ruptured sinus of Valsalva aneurysm (RSOV) (most commonly right sinus), a rare finding but well-recognized clinical entity. Invariably a form of left-to-right shunt due to rupture into right-sided chambers. A ruptured sinus of valsalva may lead to life threatening complications including myocardial ischemia, obstruction of right ventricle outflow tract and cardiac tamponade especially in acute rupture. Thus, it warrants urgent surgical or percutaneous repair. We present a case of CAD-TVD which was pre diagnosed with RSOV on accounts of ongoing chest discomfort and breathing difficulty on exertion with transthoracic echocardiography suggesting large left to right shunt with continuous flow murmur.

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