Sinus of Valsalva aneurysm dissecting the inter ventricular septum with rupture into the right ven tricle (RCD code: I 1B.O)

S inus of Valsalva aneurysm (SVA) is a rare congenital heart disease. SVA complicates with rupture into a heart chamber, causing its  volume overload, which could lead to heart failure and needs surgical correction.  Transthoracic echocardiography is a n available diagnostic tool for the diagnosis , other methods of cardiac imaging (cardiac CT and MRI) confirm the diagnosis and are necessary for preoperative assessment of the pathology. A 65-year-old man was admitted to hospital for h eart failure symptoms which worsened during the last couple of weeks . Loud murmur was revealed during auscultation of the heart. Transthoracic echocardiography revealed cystic-like structure in the right ventricle adjacent to the interventricular septum. Color Doppler showed turbulent flow from the aorta to the cavity and from the cavity to the right ventricle. Diagnosis of the right sinus of Valsalva aneurysm dissecting interventricular septum and ruptured into the right ventricle was established. The diagnosis was confirmed by ECG-gated cardiac computed tomography. The successful surgical correction resulted in regression of the heart chambers dilatation and dysfunction and to functional recovery of the patient