Transthoracic vs transesophageal echocardiography for ruptur
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Abstract :
We report a rare case of sinus of Valsalva aneurysm of both right and left coronary sinus (LCS), with perforation of the LCS opening into the left ventricle. The LCS aneurysm with its perforation was undiagnosed on transthoracic echocardiography emphasizing the role of transesophageal echocardiography in delineating the anatomy.

Introduction :
Sinus of Valsalva aneurysm (SOVA), a rare disease with an incidence of 0.09%,[1] involves commonly the right coronary sinus (RCS) ~70% followed by noncoronary sinus ~25% and rarely the left coronary sinus (LCS) ~5%.[2] Only a few cases of SOVA of LCS rupturing into left ventricle (LV) are reported.[3],[4] Occurrence of multiple SOVA is still rare.[5] We hereby report a case of multiple SOVA with LCS perforation opening into LV, which was diagnosed on transesophageal echocardiography (TEE)........

http://www.annals.in/article.asp?issn=0971-9784;year=2017;volume=20;issue=2;spage=245;epage=246;aulast=Dhawan
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