Contained Rupture of a Left Coronary Sinus of Valsalva Aneurysm: A Case Report


North Florida


North Florida Regional Medical Center

Document Type

Case Report

Publication Date



aortic neurysm, aortic rupture, echocardiography, Computed Tomography Angiography (CTA), sinus of valsalva, contained, case report


Cardiovascular Diseases | Internal Medicine


Sinus of Valsalva aneurysm (SOVA) is an anomalous aortic root enlargement that occurs between the aortic valve annulus and the sinotubular junction. SOVA rupture is a rare and potentially fatal cardiac anomaly that requires prompt attention. A timely diagnosis and appropriate management of the latter are usually necessary for the procurement of a favorable prognosis. Whereas right coronary sinuses are usually most commonly affected followed by non-coronary sinuses, sinus of Valsalva aneurysms rarely arise from the left coronary sinus due to external support from the right ventricle and the pulmonary trunk. Herein, we present a 62-year-old Caucasian male who initially presented with severe dyspnea, and was noted to have a contained, ruptured sinus of Valsalva aneurysm arising from the left coronary sinus. Diagnosis was made using different imaging modalities, and he was subsequently managed and treated promptly with a successful outcome. Given its rarity and potential for serious comorbidities and mortality, we aim to provide a review of SOVA rupture epidemiology, diagnosis, and management.

Publisher or Conference

Journal of Cardiology Case Reports