case_images: PMC10985152_01
case_images: Transthoracic echocardiography. (A) Arrow indicated right coronary sinus aneurysm. (B) Color Doppler flow. Arrow indicated blood flows into the right atrium from the ruptured sinus of Valsalva aneurysm. Ao, aorta; LA, left atrium; PA, pulmonary artery; RA, right atrium, RV, right ventricle, RCSA, right coronary sinus aneurysm.
case_images: fsurg-11-1323614-g001.jpg
case_images: PMC10985152_01_fsurg-11-1323614-g001.jpg
case_images: F1
case_images: A continuous shunt was observed on color Doppler flow imaging (CDFI) (Figure 1). Transesophageal echocardiography demonstrated a right sinus of Valsalva aneurysm rupture into the right atrium (Figures 2A,B, Supplementary Video 1).
case_images: (A) Transesophageal echocardiography demonstrating the characteristic "windsock appearance" of the sinus of Valsalva aneurysm. (B) Color Doppler flow demonstrating the large left-to-right shunt (arrow) from the ruptured sinus of Valsalva aneurysm into the right atrium. Ao, aorta; LA, left atrium; RA, right atrium; RV, right ventricle.
case_images: fsurg-11-1323614-g002.jpg
case_images: PMC10985152_01_fsurg-11-1323614-g002.jpg
case_images: F2
case_images: Transesophageal echocardiography demonstrated a right sinus of Valsalva aneurysm rupture into the right atrium (Figures 2A,B, Supplementary Video 1).
case_images: Sinus of Valsalva aneurysm (arrow) ruptured into the right atrium. RA, right atrium.
case_images: fsurg-11-1323614-g003.jpg
case_images: PMC10985152_01_fsurg-11-1323614-g003.jpg
case_images: F3
case_images: Exploration showed that the aortic sinus was grossly dilated and penetrated into the right atrium, with a rupture size of approximately 1.2 x 1 cm (Figure 3).
case_images: Timeline for this case. ICU, intensive care unit; VA-ECMO, veno-arterial extracorporeal membrane oxygenation.
case_images: fsurg-11-1323614-g004.jpg
case_images: PMC10985152_01_fsurg-11-1323614-g004.jpg
case_images: F4
case_images: He was successfully discharged after 40 days (Figure 4).