ArticleJACC. Case reports2025
Ruptured Sinus of Valsalva Aneurysm With Aorto-Atrial Fistula Mimicking Tricuspid Valve Endocarditis.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Successful emergency surgical treatment of complicated native aortic valve endocarditis: paravalvular abscess, aorto-right atrial fistula, and right atrial vegetation.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2026Article
- Enhanced surgical management of complex anal fistulasWorld journal of gastrointestinal surgery · 2025Article
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Authors and funding
10 authors.
Funding
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Abstract
backgroundSinus of Valsalva aneurysm (SOVA) is a rare cardiac anomaly that can lead to acute cardiovascular collapse if ruptured. Prompt diagnosis and surgical repair are vital for survival. CASE SUMMARY: A 26-year-old woman presented with right upper quadrant pain and nausea. Work-up revealed elevated inflammatory markers, congestive hepatopathy, severe aortic regurgitation, and a suspected tricuspid valve vegetation. Infectious studies were negative. Transesophageal echocardiography ultimately identified a ruptured SOVA with an aorto-right atrial fistula. She underwent successful surgical repair and made a full recovery. DISCUSSION: Ruptured SOVA can mimic infective endocarditis and may be misdiagnosed without careful imaging. In this case, what was thought to be a vegetation was a ruptured aneurysm. Multimodality imaging played a key role in diagnosis, and early surgical repair was crucial. TAKE-HOME MESSAGES: Ruptured SOVA should be suspected in young patients with right heart failure and inconclusive infectious work-up. Early diagnosis ensures optimal outcomes.
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