Ruptured aneurysm of the sinus of valsalva in association with persistent left superior vena cava - A case report

A 58-year-old man presenting with chest pain and dyspnea was diagnosed by t ransesophageal echocardiography and cardiac catheterization to have the rar e combination of ruptured aneurysm of noncoronary sinus of Valsalva into th e right ventricle in association with persistent left superior vena cava. T hese defects were confirmed at cardiac surgery. This case shows the importa nce of complementary use of invasive and noninvasive methods together in th e diagnosis of rare combinations of lesions.