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Case Reports
. 2025 Mar 28:31:115-117.
doi: 10.1016/j.xjtc.2025.03.014. eCollection 2025 Jun.

Acute rupture of a sinus of Valsalva aneurysm with dehiscence of the tricuspid valve

Maxwell Marlowe  1 , Jeffrey Weiner  1 , English Flack  1 , Craig Mathis  2 , Karla G Christian  2 , Garrett N Coyan  2   3
Affiliations
Case Reports

Acute rupture of a sinus of Valsalva aneurysm with dehiscence of the tricuspid valve

Maxwell Marlowe et al. JTCVS Tech. .
No abstract available

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Conflict of interest statement

The authors reported no conflicts of interest. The Journal policy requires editors and reviewers to disclose conflicts of interest and to decline handling or reviewing manuscripts for which they may have a conflict of interest. The editors and reviewers of this article have no conflicts of interest.

Figures

None
Ruptured SOVA with dehiscence of the tricuspid valve (dotted green line).
Figure 1
Figure 1
A, TEE depicting an ∼1-cm ruptured SOVA with color flow Doppler demonstrating aliased flow along the apical portion of the tricuspid valve. B, TEE image depicting color flow originating from the ruptured SOVA splaying over the tricuspid valve annulus. The ventricular portion was initially considered a VSD; however, there was no VSD on direct examination, so this was attributable to the flow pattern around the dehiscence defect of the tricuspid valve. TEE, Transesophageal echocardiogram; SOVA, sinus of Valsalva aneurysm; VSD, ventricular septal defect.
Figure 2
Figure 2
A, Metal coronary probe (green arrows) passing from the right atrioventricular junction through the ruptured sinus of Valsalva aneurysm into the right coronary sinus of the aorta after aneurysm sac resection. B, Metal probe passing through the ruptured sinus of Valsalva aneurysm, the anterior septal commissure of the tricuspid valve is detached/delaminated from the annulus (dotted green line) in this region.
See this image and copyright information in PMC

References

    1. Wilson V.C., Jacob A., van der Walt L.M., Sasse A. A multimodality approach to a rare case of ruptured sinus of Valsalva aneurysm with tricuspid valve involvement: a case report. Eur Heart J Case Rep. 2023;7(9) doi: 10.1093/ehjcr/ytad454. - DOI - PMC - PubMed
    1. Kuroda M., Takahashi K., Matsumoto S., Oshima M. Impact of intraoperative transesophageal echocardiography for noncoronary sinus of Valsalva aneurysm with severe tricuspid regurgitation. J Cardiothorac Vasc Anesth. 2020;34(8):2169–2173. - PubMed
    1. Gibbs K.L., Reardon M.J., Strickman N.E., et al. Hemodynamic compromise (tricuspid stenosis and insufficiency) caused by an unruptured aneurysm of the sinus of Valsalva. J Am Coll Cardiol. 1986;7(5):1177–1181. - PubMed

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