Evidence map›Paper›PMID 41848443›Full record

ArticleJACC. Case reports2026

Rupture of a Nonaneurysmal Left Sinus of Valsalva Into the Pericardium.

Sînziana-Alexandra Bidilean, Lukas Keller, Ahmed Ouda, Héctor Rodriguez Cetina Biefer, Petar Risteski, Omer Dzemali, Lucas Weber, André Linka

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sînziana-Alexandra BidileanCardiology Department, Cantonal Hospital, Winterthur, Switzerland. Electronic address: alexandra_bidilean@yahoo.de.
Lukas KellerCardiology Department, Cantonal Hospital, Winterthur, Switzerland.
Ahmed OudaAllianz Herzchirurgie Zürich, Clinic for Cardiac Surgery, City Hospital Triemli and University Hospital Zürich, Zürich, Switzerland.
Héctor Rodriguez Cetina BieferAllianz Herzchirurgie Zürich, Clinic for Cardiac Surgery, City Hospital Triemli and University Hospital Zürich, Zürich, Switzerland.
Petar RisteskiAllianz Herzchirurgie Zürich, Clinic for Cardiac Surgery, City Hospital Triemli and University Hospital Zürich, Zürich, Switzerland.
Omer DzemaliAllianz Herzchirurgie Zürich, Clinic for Cardiac Surgery, City Hospital Triemli and University Hospital Zürich, Zürich, Switzerland; Center for Translational and Experimental Cardiology (CTEC), University of Zürich, Zürich, Switzerland.
Lucas WeberRadiology Department, Cantonal Hospital, Winterthur, Switzerland.
André LinkaCardiology Department, Cantonal Hospital, Winterthur, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute type A aortic syndrome involving a nonaneurysmal sinus of Valsalva (SOV) without predisposing factors is exceptionally rare. The contribution of remote blunt chest trauma (BCT) in delayed aortic root pathology and aortic regurgitation remains uncertain. CASE: A 71-year-old patient presented with acute chest tightness and a large nontamponading pericardial effusion. Computed tomography angiography was inconclusive, but transesophageal echocardiography (TOE) identified rupture of a nonaneurysmal left SOV and left aortic cusp causing severe aortic regurgitation. Urgent surgical repair was successful. No clear etiology was identified, though a bicycle-related BCT 6 years earlier was considered contributory, albeit unproven. DISCUSSION: This case highlights the rarity and diagnostic challenge of nonaneurysmal left SOV rupture without clear predisposing conditions. TAKE-HOME MESSAGES: Transesophageal echocardiography is essential when computed tomography angiography is inconclusive for acute type A aortic syndrome. After BCT, comprehensive cardiac evaluation and long-term follow-up may identify delayed cardiac complications, even in patients without prior cardiac disease.

Indexed as

aortaaortic valvedissectionpericardial effusiontamponadevalve replacement

Identifiers

PMID41848443
PMCPMC13112558

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.