Ruptured aneurysm of the non-coronary sinus of Valsalva with detachment of the tricuspid valve annulus: an unusual complication of a rare cardiac anomaly.

Abstract

Sinus of Valsalva aneurysm is a rare cardiac anomaly, often associated with ventricular septal defects, aortic valve dysfunction, and frequently asymptomatic until rupture. Acute rupture typically occurs into the right ventricle and requires prompt surgical intervention. In this article, we describe the case of a 36-year-old female patient in good overall health who presented with ruptured sinus of Valsalva aneurysm complicated by detachment of the commissure between the septal and anterior cusps of the tricuspid valve, resulting in severe regurgitation. The patient underwent emergent cardiac surgery, which included repair of the non-coronary sinus and tricuspid valve.