RUPTURED ANEURYSM OF THE SINUS OF VALSALVA INTO THE LEFT-VENTRICLE - A CASE-REPORT AND REVIEW OF THE LITERATURE

This report describes a case of right coronary sinus of Valsalva aneur ysm which ruptured into the left ventricle. The diagnosis was made wit h two-dimensional transthoracic echocardiography which showed an abnor mal structure extending from the aortic root into the left ventricle a djacent to the interventricular septum. Subsequent examinations with t ransesophageal echocardiography and aortic root angiography and surgic al findings confirmed the diagnosis of transthoracic echocardiography. The patient underwent aortic valve replacement. At follow-up 12 month s later, the patient was without symptoms and repeated echocardiograph ic examinations showed no recurrence.