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  • Title: Ruptured aneurysm of the sinus of Valsalva into the right atrium. An uncommon congenital heart defect.
    Author: Budts W, Moons P, Mertens L, Van de Werf F.
    Journal: Acta Clin Belg; 2003; 58(2):120-2. PubMed ID: 12836495.
    Abstract:
    Rupture of an aneurysm of the sinus of Valsalva is an uncommon heart defect. A continuous murmur may be the first clinical sign of this rupture. Additional imaging techniques, and in the first place echocardiography, can be used to confirm the diagnosis. We present a case where, at the age 53 years, the diagnosis was made of a ruptured sinus of Valsalva into the right atrium, with a typical windsock image on echocardiogram. Although several cases of a ruptured sinus of Valsalva are reported in the literature, it is still an underdiagnosed condition because it is frequently missed during physical examination.
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