case_images: PMC5660324_01
case_images: 2D-TTE and Doppler interrogation show rupture of the wall of the right coronary sinus of valsalva and flow of blood into the right ventricle
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case_images: A 2D-TTE showed a large communication between the right SV and the right ventricle outflow tract (RVOT) with left to right shunt (Figure 1).
case_images: Angiograms (aortography and CT angiography) show ruptured right sinus of Valsalva aneurysm into the right ventricle
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case_images: The configuration of the aneurysm was consistent with the contrast filled sinus demonstrated by aortography, with a normal coronary sinus and a mobile aneurysm protruding into the right ventricle (Figure 2a). The chest computed tomography (CT) scan demonstrated also the presence of a ruptured right SV aneurysm into the right ventricle (Figure 2b).
case_images: Surgical views of the ruptured sinus of Valsalva aneurysm into the right ventricle and the interventricular septal defect
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case_images: The operative procedure included the closure of the aorto-ventricular communication and the VSD with patches (Figure 3).
case_images: Post operative 2D-TTE shows trivial residual communication between the aorta and the right ventricle
case_images: PAMJ-27-271-g004.jpg
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case_images: A 2D-TTE showed a normal left ventricular ejection fraction and trivial residual communication between the aorta and the right ventricle (Figure 4).