A Case of Sinus of Valsalva Aneurysm Rupture in a Patient with Bicuspid Aortic Valve

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SOV-A is defined as abnormal dilation of the aortic root.

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This is a rare entity, with an incidence between 0.14% and 3.5%.

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SOV-A rupture is a complication generating fistulous trajectories between cavities.

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The sign of “windsock” has been described for the ruptured SOV-A.

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We present the case of a ruptured SOV-A in a patient with bicuspid aortic valve.

A case of ruptured sinus of Valsalva aneurysm and reversible flow-induced pulmonary hypertension

Pulmonary hypertension (PH) in adults with congenital heart disease (CHD) and significant systemic-to-pulmonary shunting is a significant cause of morbidity and mortality. Its pathophysiology is incompletely understood, but involves a flow-induced pulmonary arteriopathy characterized by endothelial cell dysfunction and vascular remodeling that alters pulmonary arterial vasoreactivity. There is a paucity of literature linking PH with left-to-right shunting due to ruptured sinus of Valsalva aneurysms (SOVA). We present a unique case of reversible, flow-associated PH due to a ruptured congenital right SOVA fistulizing into the right atrium (RA), with emphasis on non-invasive and invasive assessment of pulmonary hemodynamics before and after surgical intervention.