Asymptomatic female patient with ruptured sinus valsalva aneurysm: a case report

Sinus of Valsalva aneurysms (SVA) are relatively rare lesions with a variable clinical presentation. Rupture of a SVA (RSVA) often causes hemodynamic instability due to intracardiac shunting or cardiac tamponade, therefore immediate diagnosis and urgent treatment are required. In this case, we presented a 53-year-old asymptomatic female patient, who had a ruptured right SVA with a fistula from the right sinus of Valsalva to the right ventricle (RV) of unknown etiology. A 53-year-old female patient with a history of erythema nodosum (EN) and hypertension (HT) for ten years was referred to our clinic, from department of dermatology for detailed evaluation of HT and target tissue damage. She was asymptomatic and incidentally diagnosed with a ruptured right sinus of Valsalva aneurysm during the transthoracic echocardiography (TTE). SVA are relatively rare anomalies. SVA may be either congenital or secondary to such underlying diseases as syphilis, bacterial endocarditis, atherosclerosis, and aortic dissection. In case of rupture, biventricular failure may occur as a result of systemic-pulmonary shunting. Surgical repair has been the traditional treatment choice of these aneurysms. Our case is interesting because the diagnosis was a coincidental finding in an asymptomatic patient.