Congenital aneurysm of the sinus of Valsalva ruptured to right ventricle with a ventricular septal defect and aortic regurgitation

We report the case of a patient with a congenital aneurysm of the sinus of Valsalva ruptured in the right ventricle, aortic valvular regurgitation and ventricular septal defect that remained asymptomatic for many years and pr esented clinically with severe volume overload of the heart and congestive heart failure. We describe the anatomic, echocardiographic and angiografic findings of this unusual entity with a review of the literature.