November 2007 Br J Cardiol 2007;14:265
Jonathan M Behar, Thomas R Burchell, Ben Adeyemi, Fiona Myint
Figure 1. Parasternal long axis two-dimensional echocardiogram, showing a 6.6 cm aneurysm of the sinus of valsalva (right coronary sinus) Aneurysms of the sinus of valsalva are rare and almost always originate from the right or non coronary sinuses. Unruptured, they normally remain clinically silent (detected by routine echocardiography) but can cause right ventricular outflow tract obstruction, aortic regurgitation and myocardial ischaemia from coronary artery compression. Rupture of these aneurysms can occur into any adjacent cardiac chamber and the clinical presentation may vary according to the location of this rupture. The definitive man
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