Rupture of the right sinus of Valsalva into the right ventricle: Echocardiographic and angiographic imaging

We report a 16-year-old girl with acute rupture of the sinus of Valsalva, T his case is unique in that the right coronary sinus of Valsalva ruptured in to both the right and left ventricles, producing severe aortic insufficienc y. The diagnosis was made with two-dimensional and color Doppler echocardio graphy, which showed an abnormal jet flow from the aortic root into both ve ntricles, The diagnosis was confirmed by magnetic resonance imaging and aor tic root angiography, Early diagnosis is important so that urgent surgical treatment can be taken.