CC Cardiol Croat Cardiologia Croatica Cardiol. Croat. 1848-543X 1848-5448 Croatian Cardiac Society CC 2022 17_9-10_240 10.15836/ccar2022.240 Extended Abstract Echocardiography, MSCT, MRI Ruptured Valsalva aneurysm of the non-coronary cusp: a case report https://orcid.org/0000-0001-6540-4944MačkićDenis1* https://orcid.org/0000-0001-6842-262XBegićEdin1 https://orcid.org/0000-0001-7254-8858ČustovićFaruk1 https://orcid.org/0000-0003-2506-9453AvdalovićDeana2 https://orcid.org/0000-0002-1119-6075PalićBenjamin2 https://orcid.org/0000-0002-9272-0747IsakovićSalko1 General Hospital “Prim.dr. Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina Clinic for Internal medicine, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina ADDRESS FOR CORRESPONDENCE: Denis Mačkić, General Hospital “Prim.dr. Abdulah Nakaš”, Kranjčevićeva 12, 71000 Sarajevo, Bosnia and Herzegovina. / Phone: +387 33 285-100 / E-mail: denismackic@hotmail.com 112022 17 9-10 240 240 12102022 10112022 2022 Croatian Cardiac Society KEYWORDS: sinus of Valsalvaaneurysmechocardiographytreatment

Aim: To present a rupture of sinus of Valsalva aneurysm (SOVA) of the non-coronary cusp (NCC) in a 30-year-old female patient who was admitted for hospital treatment because of symptoms related to congestive heart failure.

Case presentation: After transthoracic echocardiography (TTE), where the existence of a ventricular septal defect (VSD) was suspected, transesophageal echocardiography (TEE) was indicated for a patient with a diagnosis of Down syndrome. The left and right heart cavities were of regular dimensions, with preserved systolic function of the left ventricle, along with mild mitral and pulmonary regurgitation. TEE detected a SOVA of NCC, with visible communication with the right atrium, along with trileaflet aortic valve (Figure 1).

Rupture of the noncoronary sinus of Valsalva aneurysm.

Conclusion: SOVA is a rare congenital heart defect, which is most often detected accidentally, and due to rupture, surgical treatment is indicated (1, 2).

LITERATURE Arrascaeta-LlanesAKashyapAMeylerDGuptaRTharayilZKhanW. Ruptured Coronary Sinus of Valsalva in the Setting of a Supracristal Ventricular Septal Defect. Clin Pract Cases Emerg Med. 2020 February 24;4(2):154–7. 10.5811/cpcem.2019.11.4400832426659 WeinreichMYuPJTrostB. Sinus of valsalva aneurysms: review of the literature and an update on management. Clin Cardiol. 2015 March;38(3):185–9. 10.1002/clc.2235925757442