Transesophageal echocardiographic short-axis view shows two huge aneurysms of right and noncoronary sinuses with spontaneous contrast (Videoclip 2.1).

Discussion

Aneurysms of the sinus of Valsalva are usually diagnosed as an incidental finding or after an acute rupture into an adjacent cardiac structure. Before rupture, aneurysms of the sinus of Valsalva may present with conduction-system abnormalities attributable to erosion into the interventricular septum. Thromboembolism originating in the aneurysm sac, which is attributable to coronary compression [1].

Sawyers et al

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