Circulation · 1999 · 25 citations · 0 references
MedicineCardiologySurgeryCardiothoracic SurgeryClinical CardiologyPulmonologyAneurysm RepairCongenital Heart DiseaseCongenital Heart SurgeryValvular Heart DiseaseCardiac Murmur EvaluationCongenital Cardiac AnomaliesCongenital Valvular Heart DiseaseInterventricular Septal DefectInterventricular SeptumRuptured Aneurysm RepairRuptured Sinus Of ValsalvaVentricular Septal Rupture
A 23-year-old Haitian man presented with complaints of shortness of breath, dyspnea on exertion, and occasional palpitations. Examination revealed a wide pulse pressure and a continuous murmur across the precordium. The echocardiogram showed a ruptured aneurysm of the right sinus of Valsalva (Figure The sinus rupture dissected into the interventricular septum and then ruptured into the left ventricular cavity (Figures No operative intervention was undertaken.