Abstract
Sinus of Valsalva aneurysms are a rare entity. Rupture of such aneurysms is a major cause of aortocardiac fistulas usually occurring between the right sinus of Valsalva and right cardiac chambers. We report an exceptional case of a ruptured congenital sinus of Valsalva aneurysm with fistulas involving both the right- and left-ventricular outflow tracts and causing RVOT obstruction. We also demonstrate the utility of computed tomography angiography and transesophageal echocardiography in diagnosing these fistulas.
MeSH terms
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Aneurysm, Ruptured / complications
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Aneurysm, Ruptured / congenital*
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Aneurysm, Ruptured / diagnosis
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Angiography
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Aorta, Thoracic*
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Aortic Aneurysm / complications*
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Aortic Aneurysm / congenital
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Aortic Aneurysm / diagnosis
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Diagnosis, Differential
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Echocardiography, Transesophageal
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Heart Aneurysm / diagnosis
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Heart Aneurysm / etiology*
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Humans
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Male
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Multidetector Computed Tomography
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Sinus of Valsalva*
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Vascular Fistula / diagnosis
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Vascular Fistula / etiology*
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Ventricular Outflow Obstruction / diagnosis
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Ventricular Outflow Obstruction / etiology*
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Young Adult