Ruptured Non-Coronary Sinus of Valsalva Aneurysm with Left Ventricular Outflow Tract-Left Atrial Fistula

Abstract

Aneurysm of the aortic sinus is a rare pathology and may remain clinically asymptomatic until rupture occurs. The rupture is seen most commonly into the right side of the heart but occasionally into the pericardium, the pulmonary artery, and the left ventricle. Only a few cases have been reported of rupture of a noncoronary sinus of valsalva aneurysm into the left atrium. We report a case of previously healthy 68 years old male who suddenly developed chest pain and pulmonary edema. Echocardiography and angiography revealed a rupture of a noncoronary sinus of valsalva aneurysm into the left atrium.