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:10.5811/cpcem.2019.11.44008

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

Clin Pract Cases Emerg Med. 2020 Feb 24;4(2):154-157. doi: 10.5811/cpcem.2019.11.44008. eCollection 2020 May.

Authors

Abilio Arrascaeta-Llanes¹, Akanksha Kashyap¹, Diana Meyler¹, Ravi Gupta¹, Zubin Tharayil¹, Waqas Khan²

Affiliations

¹ Long Island Community Hospital, Department of Medicine, Patchogue, New York.
² Long Island Community Hospital, Department of Cardiology, Patchogue, New York.

Abstract

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.

Publication types

Case Reports