case_images: PMC5492701_01
case_images: Two-dimensional echocardiogram short-axis view of the aortic valve showing an aneurysm at the non-coronary sinus of Valsalva measuring 1.94 cm x 2.57 cm. LA, left atrium; RA, right atrium; AV, aortic valve.
case_images: fmed-04-00095-g001.jpg
case_images: PMC5492701_01_fmed-04-00095-g001.jpg
case_images: F1
case_images: Two-dimensional echocardiogram short-axis view of the aortic valve (A) with color flow Doppler (B) showing a fistula between the non-coronary sinus of Valsalva aneurysm and the RA. LA, left atrium; RA, right atrium; AV, aortic valve; Asterix, sinus of Valsalva aneurysm; RV, right ventricle.
case_images: fmed-04-00095-g002.jpg
case_images: PMC5492701_01_fmed-04-00095-g002.jpg
case_images: F2
case_images: Image demonstrating the non-coronary sinus of Valsalva aneurysm communicating with the RA. RA, right atrium; Asterix, sinus of Valsalva aneurysm.
case_images: fmed-04-00095-g003.jpg
case_images: PMC5492701_01_fmed-04-00095-g003.jpg
case_images: F3
case_images: TTE. Substantial communication between the ascending aorta and the RA was identified and the decision was made to avoid placing a pulmonary arterial catheter, which potentially could access the SOVA-RA fistula (Figures 3 and 4) and cause aortic injury. Cardiopulmonary bypass was then instituted after adequate systemic anticoagulation with heparin. The orifice of the SOVA was repaired with a bovine pericardial patch successfully.
case_images: Panel demonstrating the non-coronary sinus of Valsalva aneurysm form the perspective of the aortic root (A) and the perspective of the right atrium (B). Asterix, sinus of Valsalva aneurysm-to-right atrial fistulas.
case_images: fmed-04-00095-g004.jpg
case_images: PMC5492701_01_fmed-04-00095-g004.jpg
case_images: F4
case_images: TTE. Substantial communication between the ascending aorta and the RA was identified and the decision was made to avoid placing a pulmonary arterial catheter, which potentially could access the SOVA-RA fistula (Figures 3 and 4) and cause aortic injury. Cardiopulmonary bypass was then instituted after adequate systemic anticoagulation with heparin. The orifice of the SOVA was repaired with a bovine pericardial patch successfully.