Abstract
Intracardiac rupture of a dissecting aortic aneurysm is rare. Although previous cases of rupture into the atria have been reported, we are unaware of any report of rupture into the right ventricle. We suggest that the pathophysiologic findings in this situation are similar to those seen in the intracardiac rupture of sinus of Valsalva aneurysms. The indications for urgent operation combine both the known progressive decompensation seen in this anatomic situation and the significant possibility of external rupture of the false sac of the aneurysm.
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