DOI: 10.12890/2025_005582

A rare cause of heart failure in a young female: rupture of a sinus of Valsalva aneurysm into the right atrium

Authors

  • Leila Bigdelu Vascular and Endovascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  • Ossama Maadarani Critical Care Unit, Internal Medical Department, Ahmadi Hospital, Kuwait Oil Company (KOC), Al Ahmadi, Kuwait
  • Ali Azari Vascular and Endovascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  • Zouheir Bitar Critical Care Unit, Internal Medical Department, Ahmadi Hospital, Kuwait Oil Company (KOC), Al Ahmadi, Kuwait

omaadarani@kockw.com

Keywords

Sinus of Valsalva, aneurysm, rupture, heart failure

Abstract

The aortic sinuses of Valsalva are small pouches typically located above the aortic valve and play a crucial role in allowing the aortic valve leaflets to move freely and in supporting the valve itself. Enlargement and dilatation of one or more of these sinuses may result in aneurysm formation that can be complicated with either compression-like effects or spontaneous rupture. A sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly. We present a case of acute heart failure in a young female caused by spontaneous rupture of an SVA that was diagnosed by echocardiography and required surgical treatment.

View the entire article

Downloads

References

  1. Hope J, ed. A Treatise on the Disease of the Heart and Great Vessels. 3rd ed. Philadelphia PA: Lea and Blanchard, 1839:466–471.
  2. Feldman DN, Roman MJ. Aneurysms of the sinuses of Valsalva. Cardiology 2006;106:73–81. doi: 10.1159/000092635
  3. Haseeb Ul Rasool M, Swaminathan G, Hosna AU, Bhutta Z, Foster A, Ahammed MR, Collura G. Sinus of Valsalva Aneurysm: An Atypical Etiology of Recurrent Syncope. Cureus 2023;15:e43325. doi: 10.7759/cureus.43325
  4. Dong C, Wu QY, Tang Y. Ruptured sinus of valsalva aneurysm: a Beijing experience. Ann Thorac Surg 2002;74:1621–1624. doi: 10.1016/s0003-4975(02)03987-5
  5. Troupis JM, Nasis A, Pasricha S, Patel M, Ellims AH, Seneviratne S. Sinus valsalva aneurysm on cardiac CT angiography: assessment and detection. J Med Imaging Radiat Oncol 2013;57:444-447. doi:10.1111/j.1754-9485.2012.02467.x
  6. Yan F, Huo Q, Qiao J, Murat V, Ma SF. Surgery for sinus of valsalva aneurysm: 27-year experience with 100 patients. Asian Cardiovasc Thorac Ann 2008;16:361-365. doi: 10.1177/021849230801600504
  7. Ayati A, Toofaninejad N, Hosseinsabet A, Mohammadi F, Hosseini K. Transcatheter closure of a ruptured sinus of valsalva: a systematic review of the literature. Front Cardiovasc Med 2023;10:1227761. doi: 10.3389/fcvm.2023.1227761
  8. Diwakar A, Patnaik SS, Hiremath CS, Chalam KS, Dash P. Rupture of sinus of valsalva - A 15 years single institutional retrospective review: Preoperative heart failure has an impact on post operative outcome? Ann Card Anaesth 2019;22:24-29. doi: 10.4103/aca.ACA_243_17
  9. Ghosh S, Bootla D, Barward P, Sharma A. Multilobulated Sinus of Valsalva Aneurysm Dissecting into the Interventricular Septum (DAIS) and Rupturing into Left Ventricle: A Case Report. Eur Heart J Case Rep 2022;6:ytac019. doi: 10.1093/ehjcr/ytac019
  10. Chan N, Charalambous M, Fuschetto DP, Fuschetto O, Makaryus JN. Severe compression of the left circumflex coronary artery by a large sinus of Valsalva aneurysm. J Cardiovasc Comput Tomogr 2020;14:e26-e28. doi: 10.1016/j.jcct.2018.11.001

Published

2025-06-18

Issue

Vol. 12 No. 7 (2025)

Categories

How to Cite

1.
Bigdelu L, Maadarani O, Azari A, Bitar Z. A rare cause of heart failure in a young female: rupture of a sinus of Valsalva aneurysm into the right atrium. EJCRIM [Internet]. 2025 Jun. 18 [cited 2026 Nov. 4];12(7). Available from: https://ejcrim.com/index.php/ejcrim/article/view/5582

Most read articles by the same author(s)

<< < 1 2