Sinus of Valsalva Aneurysm: A case report

Abstract

Sinus of Valsalva aneurysm (SVA) is an uncommon cardiac anomaly that can be congenital or acquired. Sinus of Valsalva aneurysm (SVA) is one of the rare congenital anomalies described in the literature, prevalence being 1% of all congenital anomalies of heart and circulation. Risks associated with SVA include rupture, compression of adjacent cardiac structures and development of aortic regurgitation. Rupture is the most dreaded complication of SVA. Ruptures of sinus of valsalva aneurysm are most commonly seen rupturing into cardiac chambers. In our case, the rupture was into inter ventricular septum which is very rare. The rent in the sinus of valsalva should always be closed using patch material and we should never close directly. We should always excise one side of the cavity preferably towards left ventricle. Rupture of sinus of valsalva to inter ventricular septum is very rare. Accurate pre operative diagnosis and proper treatment will help in long term survival.

Keywords

• sinus of valsalva aneurysm
• congenital anomalies
• inter ventricular septum