Isolated sinus of Valsalva (SV) aneurysm is a rare condition that may arise in patients with congenital ventricular septal defects (VSD). Small VSDs are often left untreated because of high rate of spontaneous closure. However, complications such as aortic regurgitation and infective endocarditis may occur as complications of small VSDs. We present the case of a 19-year-old man with a history of VSD, who presented with Staphylococcus aureus endocarditis and a contained rupture of the SV into the right ventricle, which was successfully treated. In the light of this case, we believe that even small VSDs should be assessed regularly and treated before such drastic complications occur.
TaguchiKSasakiNMatsuuraYUemuraR.Surgical correction of aneurysm of the sinus of Valsalva. A report of forty-five consecutive patients including eight with total replacement of the aortic valve. Am J Cardiol. 1969;23(2):180–191.
8.
AzakieADavidTEPenistonCMRaoVWilliamsW.Ruptured sinus of valsalva aneurysm: early recurrence and fate of the aortic valve. Ann Thorac Surg. 2000;70(5):1466–1470.
9.
FeldmanDNGadeCLRomanMJ.Ruptured aneurysm of the right sinus of valsalva associated with a ventricular septal defect and an anomalous coronary artery. Tex Heart Inst J. 2005;32(4):555–559.
10.
MohitePNRohitMKThingnamSK.Ruptured right sinus of Valsalva into main pulmonary artery. J Cardiovasc Dis Res. 2012;3(2):132–134.
11.
LeeSHKimJBParkNHKimHSKeumDY. Asymptomatic ruptured sinus of valsalva aneurysm combined with perimembranous ventricular septal defect, and bicuspid aortic valve in adult patient[published online July 12, 2012]. Thorac Cardiovasc Surg. 2012.
