Clinical Practice and Cases in Emergency Medicine
Ruptured Coronary Sinus of Valsalva in the Setting of a Supracristal Ventricular Septal Defect
- Author(s): Arrascaeta-Llanes, Abilio
- Kashyap, Akanksha
- Meyler, Diana
- Gupta, Ravi
- Tharayil, Zubin
- Khan, Waqas
- et al.
Published Web Locationhttps://doi.org/10.5811/cpcem.2019.11.44008
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.