Sinus of valsalva aneurysm, is a rare congenital defect and the diagnosis is usually made after it ruptures. The anomaly often involves the right coronary sinus and is less frequent in the noncoronary sinus. The rupture of the left sinus of valsalva into the pulmonary artery is extremely rare. So far, few cases with ruptured left sinus of valsalva have been reported. We are reporting a rupture of the left sinus of valsalva into the main pulmonary artery in a 15-year-old female diagnosed by transthoracic echocardiography.

Keywords: Sinus of valsalva, echocardiography, rupture

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