Unanticipated Ruptured Sinus of Valsalva Aneurysm in a Patient with Subpulmonic Ventricular Septum Defect: Suspected by Intraoperative Transthoracic Echo; Confirmed by Intraoperative Transesophageal Echo

Abstract

ABSTRACT A sinus of valsalva (SOV) aneurysm is a rare cardiac anomaly that may be congenital or acquired and may be associated with other cardiac lesions. If the aneurysm ruptures, it causes acute symptoms of dyspnea. Echocardiography is a useful diagnostic tool that can guide in proper management of these patients. We present a case of subpulmonic ventricular septal defect (VSD) in which ruptured SOV was detected by intraoperative transthoracic echocardiography and confirmed by transesophageal echocardiography (TEE) which helped in adequate surgical repair and good outcome for the patient. This case report emphasizes the importance of routine transthoracic and TEE in operating room by cardiac anesthesiologist to confirm the original diagnosis and look for new unanticipated findings, especially in a patient with strong clinical suspicion. How to cite this article Bhat IH, Raj R, Puri GD. Unanticipated Ruptured Sinus of Valsalva Aneurysm in a Patient with Subpulmonic Ventricular Septum Defect: Suspected by Intraoperative Transthoracic Echo; Confirmed by Intraoperative Transesophageal Echo. J Perioper Echocardiogr 2015;3(1): 25-28.