Cardiac Arrest during Exercise; Rupture of the Sinus of Valsalva with Dissection into the Interventricular Septum

Abstract

We report the case of a healthy 26-year-old man with rupture of the sinus of Valsalva with dissection into the interventricular septum presented as ventricular fibrillation. Echocardiography showed precisely the ruptured site initiated from the right coronary cusp into the interventricular septal wall. That made a false cavity in the septum without outlet. There was moderate aortic regurgitation, but no significant dynamic left ventricular outflow tract obstruction. This finding was confirmed on chest computed tomography scan. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.