https://doi.org/10.4081/monaldi.2025.3310
From clues to clarity: multimodality imaging uncovers ruptured sinus of Valsalva aneurysm masquerading as tricuspid valve endocarditis
Submitted: December 18, 2024
Accepted: February 18, 2025
Published: March 27, 2025
Accepted: February 18, 2025
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Ruptured sinus of Valsalva aneurysm (RSOVA) is a rare but life-threatening condition that may be misdiagnosed due to nonspecific symptoms. We report the case of a 24-year-old postpartum female who presented with acute right heart failure and was initially misdiagnosed with tricuspid valve infective endocarditis. Detailed evaluation revealed RSOVA originating from the right coronary sinus with left-to-right shunting into the right ventricle. This case highlights the importance of clinical suspicion and multimodal imaging for accurate diagnosis in postpartum females presenting with dyspnea, chest pain, and a continuous murmur. Early diagnosis and timely intervention are crucial to improving outcomes.
Weinreich M, Yu PJ, Trost B. Sinus of Valsalva aneurysms: review of the literature and an update on management. Clin Cardiol 2015;38:185-9.
DOI: https://doi.org/10.1002/clc.22359
Aggarwal S, Khan S, Kumar A, et al. Acute right heart failure in postpartum period: an unusual case of ruptured sinus of Valsalva aneurysm. J South Asian Feder Obst Gynae 2022;14:471-2
DOI: https://doi.org/10.5005/jp-journals-10006-2082
Latzman J, Makaryus AN, Rosman D. Ruptured sinus of Valsalva aneurysm in a pregnant woman. Tex Heart Inst J 2006;33:66-9.
Xu B, Kocyigit D, Betancor J, et al. Sinus of Valsalva aneurysms: a state-of-the-art imaging review. J Am Soc Echocardiogr 2020;33:295-312.
DOI: https://doi.org/10.1016/j.echo.2019.11.008
Kumar GA, Parimala PS, Jayaranganath M, Jagadeesh AM. Three-dimensional transesophageal echocardiography-guided transcatheter closure of ruptured noncoronary sinus of valsalva aneurysm. Ann Card Anaesth 2017;20:S73-5.
DOI: https://doi.org/10.4103/0971-9784.197807
Bricker AO, Avutu B, Mohammed TL, et al. Valsalva sinus aneurysms: findings at CT and MR imaging. Radiographics 2010;30:99-110.
DOI: https://doi.org/10.1148/rg.301095719
Moustafa S, Mookadam F, Cooper L, et al. Sinus of Valsalva aneurysms--47 years of a single center experience and systematic overview of published reports. Am J Cardiol 2007;99:1159-64.
DOI: https://doi.org/10.1016/j.amjcard.2006.11.047
How to Cite
Bhutani, Jaikrit, Prateek Jain, Reeva Bathla, and Divya Mangal. 2025. “From Clues to Clarity: Multimodality Imaging Uncovers Ruptured Sinus of Valsalva Aneurysm Masquerading As Tricuspid Valve Endocarditis”. Monaldi Archives for Chest Disease, March. https://doi.org/10.4081/monaldi.2025.3310.
Copyright (c) 2025 The Author(s)
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