Sinus of Valsalva Aneurysm Rupture Associated With a Ventricular Septal Defect: The Importance of Multi-Angle Assessment by Intraoperative Transesophageal Echocardiography

An Unusual Cause of Acute Abdominal Pain and Unexplained Dyspnea in a Young Man: A Sinus of Valsalva Aneurysm

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SVA is due to weakness of the elastic lamina.

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Rupture can lead to right ventricular and right atrial fistulas.

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TTE is the first-line imaging modality due to portability, convenience, and accuracy.

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Nonstandard views with sweeps are important to define pathologic communications.

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TEE is the modality of choice for structural intervention and surgical planning.

Case report: Total thoracoscopic repair of sinus of Valsalva aneurysm combined with ventricular septal defect

The sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly. It can develop into the heart failure if it ruptures, which requires early intervention. However, such congenital anomalies are usually treated using a median sternotomy approach. Here, we report a rare case of SVA combined with a ventricular septal defect in which the patient underwent patch repair of the defects under a total thoracoscopy approach. She was discharged uneventfully and showed no residual shunt or aortic regurgitation postoperatively or at the 12-month follow-up. The total thoracoscopic approach for SVA repair is technically feasible.