A ruptured Sinus of Valsalva aneurysm results in a communication between the aortic sinus and the atrium or right ventricle. The abnormality is often congenital but may also be acquired from endocarditis or trauma.
The clinical presentation depends on the size of the communication. Small defects may not cause symptoms but can be diagnosed by the presence of a continuous murmur. Larger defects may cause shortness of breath and volume overload of the heart. Surgical repair is generally advised and requires particular expertise.
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