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Aneurysms of sinus of Valsalva are rare cardiac abnormalities. They are dilatations of the aortic sinuses and are classified as congenital or acquired. If located in the right coronary sinus they are usually ruptured into right heart chambers and frequently a ventricular septal defect coexists with this condition. This paper reports a 30-year-old woman with ruptured aneurysm of the right sinus of Valsalva into the right ventricle. Transesophageal echocardiography examination and transthoracic echocardiography provides precise information about the aneurysms and coexisting cardiac malformations. Aneurysms of sinus of Valsalva even if asymptomatic, has potential risks of expansion, rupture, cardiac failure, endocarditis, embolism and sudden death. This justifies surgical correction, with a low mortality rate in both the short- and long-term. Careful physical examination and echocardiography in our patient led to early diagnosis before appearance of serious complications.

Keywords: Sinus of Valsalva, aneurysm rupture, transesophageal echocardiography

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