Rupture of Sinus of Valsalva Aneurysm: Classical Windsock in Bicuspid Aortic Valve

Poorzand H1, Afshar S2* and Teshnizi MA3

1Department of Cardiology, Vascular Surgery Research Center, Mashhad University of Medical Sciences, Iran
2Department of Cardiology, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Iran
3Department of Cardiothoracic Surgery, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Iran

^*Correspondance to: Sara Afshar 

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Abstract:

Background: Sinus of Valsalva Aneurysm is a rare cardiac anomaly that could be congenital or acquired after trauma or specific medical conditions, including endocarditis. Methods: Here, we present successful management of a case of Ruptured Sinus of Valsalva Aneurysm (RSVA) with a classic windsock appearance in a Bicuspid aortic valve in a young female. Results: A 17-year-old female patient was admitted to the cardiac emergency unit because of palpitations, lower-extremity edema, and sudden-onset dyspnea. There was moderate cardiomegaly and bilateral pulmonary congestion on the chest X-ray. Transthoracic echocardiography shows a medial aneurysmal sinus with rupture into the right atrium, appearing as a prolonged hypermobile classic windsock deformity. The patient's parents did not agree to catheterization and candidate for cardiac surgery. The damaged tissue of the involved cusp was excised during the surgery, and a pericardial patch was inserted in the hole entering the right atrium. A bioprosthetic aortic valve replaced the aortic valve. Conclusion: Surgical interventions can successfully treat RSVA, and windsock deformity is a diagnostic clue in RSVAs opening to the RA.

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Cite the Article:

Poorzand H, Afshar S, Teshnizi MA. Rupture of Sinus of Valsalva Aneurysm: Classical Windsock in Bicuspid Aortic Valve. Ann Clin Case Rep. 2022; 7: 2260.