Ruptured Sinus of Valsalva Aneurysm Causing Aorto–Atrial Fistula and Acute Heart Failure: A Rare Encounter

  • Zafar Ali University of Kansas Medical Center, Kansas City, KS, USA
  • Talal Asif John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA
  • Justin Sheehy University of Missouri–Kansas City, Kansas City, MO, USA
  • Dany Jacob University of Missouri–Kansas City, Kansas City, MO, USA
  • Paramdeep S Baweja University of Missouri–Kansas City, Kansas City, MO, USA

Keywords

Sinus of Valsalva aneurysm, aorto–atrial fistula, heart failure

Abstract

A ruptured sinus of Valsalva aneurysm as a cause of aorto–atrial fistula is very rare. We present the case of a 53-year-old female who presented with symptoms of acute heart failure and suspicion of an aorto–atrial fistula found on a transthoracic echocardiogram, which was confirmed on transesophageal echocardiography. A coronary angiogram showed normal coronary arteries but confirmed the right aorto–atrial fistula on aortogram. She underwent successful surgical repair of the fistula. Her postoperative echocardiogram showed a normal right atrium and right ventricle with no shunt. A ruptured sinus of Valsalva aneurysm is a devastating event and presents as acute heart failure. Prompt diagnosis and surgical repair is necessary to prevent mortality.

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  • Published: 2020-03-06

    Issue: Vol 7 No 4 (view)

    Section: Articles

    How to cite:
    Ali, Z., Asif, T., Sheehy, J., Jacob, D., & Baweja, P. S. (2020). Ruptured Sinus of Valsalva Aneurysm Causing Aorto–Atrial Fistula and Acute Heart Failure: A Rare Encounter. European Journal of Case Reports in Internal Medicine, 7(4). https://doi.org/https://doi.org/10.12890/2020_001499