Cardiology - Case Reports
March 27, 2025
Early Access
https://doi.org/10.4081/monaldi.2025.3310

From clues to clarity: multimodality imaging uncovers ruptured sinus of Valsalva aneurysm masquerading as tricuspid valve endocarditis

Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Postpartum cardiovascular complications, multimodality imaging, right heart failure
353
Views
72
Downloads

Authors

Jaikrit Bhutani
sukjai2002@gmail.com
https://orcid.org/0000-0001-7863-5303
Department of Cardiology, Sawai Man Singh Medical College, Jaipur, India.
Prateek Jain
https://orcid.org/0009-0009-5195-9135
Department of Cardiology, Sawai Man Singh Medical College, Jaipur, India.
Reeva Bathla
Cross Sectional and Body Imaging Fellowship, Department of Diagnostic and Intervention Radiology, All India Institute of Medical Sciences, Rishikesh, India.
Divya Mangal
Department of Cardiothoracic and Vascular Surgery, Narayana Hospital, Jaipur, India.

Ruptured sinus of Valsalva aneurysm (RSOVA) is a rare but life-threatening condition that may be misdiagnosed due to nonspecific symptoms. We report the case of a 24-year-old postpartum female who presented with acute right heart failure and was initially misdiagnosed with tricuspid valve infective endocarditis. Detailed evaluation revealed RSOVA originating from the right coronary sinus with left-to-right shunting into the right ventricle. This case highlights the importance of clinical suspicion and multimodal imaging for accurate diagnosis in postpartum females presenting with dyspnea, chest pain, and a continuous murmur. Early diagnosis and timely intervention are crucial to improving outcomes.

Altmetrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
Weinreich M, Yu PJ, Trost B. Sinus of Valsalva aneurysms: review of the literature and an update on management. Clin Cardiol 2015;38:185-9. DOI: https://doi.org/10.1002/clc.22359
Aggarwal S, Khan S, Kumar A, et al. Acute right heart failure in postpartum period: an unusual case of ruptured sinus of Valsalva aneurysm. J South Asian Feder Obst Gynae 2022;14:471-2 DOI: https://doi.org/10.5005/jp-journals-10006-2082
Latzman J, Makaryus AN, Rosman D. Ruptured sinus of Valsalva aneurysm in a pregnant woman. Tex Heart Inst J 2006;33:66-9.
Xu B, Kocyigit D, Betancor J, et al. Sinus of Valsalva aneurysms: a state-of-the-art imaging review. J Am Soc Echocardiogr 2020;33:295-312. DOI: https://doi.org/10.1016/j.echo.2019.11.008
Kumar GA, Parimala PS, Jayaranganath M, Jagadeesh AM. Three-dimensional transesophageal echocardiography-guided transcatheter closure of ruptured noncoronary sinus of valsalva aneurysm. Ann Card Anaesth 2017;20:S73-5. DOI: https://doi.org/10.4103/0971-9784.197807
Bricker AO, Avutu B, Mohammed TL, et al. Valsalva sinus aneurysms: findings at CT and MR imaging. Radiographics 2010;30:99-110. DOI: https://doi.org/10.1148/rg.301095719
Moustafa S, Mookadam F, Cooper L, et al. Sinus of Valsalva aneurysms--47 years of a single center experience and systematic overview of published reports. Am J Cardiol 2007;99:1159-64. DOI: https://doi.org/10.1016/j.amjcard.2006.11.047

How to Cite



“From Clues to Clarity: Multimodality Imaging Uncovers Ruptured Sinus of Valsalva Aneurysm Masquerading As Tricuspid Valve Endocarditis”. 2025. Monaldi Archives for Chest Disease, March. https://doi.org/10.4081/monaldi.2025.3310.
Copyright (c) 2025 The Author(s) Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.