Clinical Practice and Cases in Emergency Medicine (May 2020)

Ruptured Coronary Sinus of Valsalva in the Setting of a Supracristal Ventricular Septal Defect

  • Abilio Arrascaeta-Llanes,
  • Akanksha Kashyap,
  • Diana Meyler,
  • Ravi Gupta,
  • Zubin Tharayil,
  • Waqas Khan

DOI
https://doi.org/10.5811/cpcem.2019.11.44008
Journal volume & issue
Vol. 4, no. 2

Abstract

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A sinus of Valsalva aneurysm (SOVA) is usually a silent entity until one of its complications arises, such as heart failure. SOVA itself is uncommon, but it is more frequently associated with a supracristal ventricular septal defect (SVSD). We present a 67-year-old man with a history of an asymptomatic SVSD who presented to the emergency department with signs and symptoms of heart failure. He was subsequently found to have a ruptured SOVA and underwent urgent surgical repair.