Ruptured Non-Coronary Sinus of Valsalva Aneurysm Fistulizing into the Left Atrium: A Rare Case Presentation

Öz

Objective: We report a rare case of a ruptured sinus of valsalva aneurysm originating from the non-coronary sinus and fistulizing into the left atrium, presenting with acute heart failure symptoms. 

Case: A 54-year-old male patient was admitted with signs and symptoms of heart failure. Transthoracic echocardiography revealed turbulent color flow from the non-coronary sinus (NCS) to the left atrium. An aneurysmatic appearance with contour irregularity of the sinus of Valsalva within the NCS was observed in the parasternal long-axis view. Sinus of Valsalva aneurysms (SVAs) can result from congenital or acquired factors. Aneurysmatic tissue may develop due to dysplasia of the sinus of Valsalva during embryonic development, and rupture can occur following infective endocarditis, intense physical activity, atherosclerosis, or trauma exposure. Conclusion: The non-coronary sinus is the second most common site for the development of aneurysms after the right coronary sinus, and SVA ruptures frequently fistulize into the right heart cavities. Hence, our patient’s diagnosis of a non-coronary SVA ruptured into the left atrium (LA) represents an even rarer occurrence, which warrants reporting.

Anahtar Kelimeler

• Rupture of Sinus of Valsalva
• Fistulization into the Left Atrium
• Heart Failure

Destekleyen Kurum

The authors received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Etik Beyan

Written informed consent was obtained from the patient for publication of this case report and accompanying images.

Teşekkür

The authors would like to thank all healthcare personnel involved in the diagnosis, treatment, and follow-up of the patient.

Kaynakça

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