Rupture of Aneurysm of the Right Sinus of Valsalva Into the Right Ventricular Outflow Tract

Abstract
A 40-year-old asymptomatic woman who had been followed elsewhere for a presumed small ventricular septal defect and mild aortic regurgitation presented to our unit with a continuous heart murmur. Transthoracic ECG confirmed the diagnosis of a ruptured aneurysm of the right sinus of Valsalva into the right ventricular (RV) outflow tract. Under general anesthesia, a transesophageal echocardiogram (TEE) was performed (Figure 1), which demonstrated a rupture of the right sinus of Valsalva …

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