yemenjmedYemen Journal of MedicinecoVolume 3 Issue 1MultidisciplinaryEnglishJanuary-April 2024NNY20240511ArticleRupture of sinus of Valsalva aneurysm in a young adult male: A case reportEnglishY5759ÖzkanKömürcü1EnglishNCemAtik2EnglishYMetehanÖzen3EnglishYHaticeGüldal4EnglishYMustafaBoğan5EnglishY10.32677/yjm.v3i1.4410Rupture of the sinus of Valsalva aneurysm (SVA) is a surgical emergency. It can be fatal if not treated properly and on time. In this report, we present a 39-year-old male patient with no known disease who was admitted to the emergency department with complaints of pressure-such as chest pain, chest tightness, and an inability to breathe easily after a heavy meal at night. Thoracic and abdominal computed tomography angiography was performed to better evaluate the vascular structures; the ascending aorta diameter was 71 mm (wider than normal). Hemorrhagic fluid was observed in the pericardial space and paracardiac recesses. The preliminary diagnosis was a rupture of the right SVA, and emergency surgery was performed. The posterior aorta was found to have ruptured at the level of the right sinus of Valsalva, and anastomosis was performed on the torn portion. The patient was extubated 8 h after surgery. On the 7th post-operative day, transthoracic echocardiography was within normal limits, and he was discharged from the hospital on the 8th day in good condition with stable vital signs.EnglishAcute coronary syndrome, Rupture, Sinus of Valsalva aneurysmhttps://yemenjmed.com/admin/abstract?id=101References1619Hoey ET, Kanagasingam A, Sivananthan MU. Sinus of valsalva aneurysms: assessment with cardiovascular MRI. AJR Am J Roentgenol. 2010 Jun;194(6):W495-504.Weinreich M, Yu PJ, Trost B. Sinus of Valsalva aneurysms: review of the literature and an update on management. Clin Cardiol. 2015;38:185and;ndash;9.Jiang K, Chen J, Zhu X, et al. Rupture of sinus of Valsalva aneurysm: a case report in a child. BMC Cardiovasc Disord 22, 158 (2022).Bass D, Tivakaran VS. Sinus Of Valsalva Aneurysm. [Updated 2023 Feb 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448198/ [accessed on 2 January 2024]Feldman DN, Roman MJ. Aneurysms of the sinuses of Valsalva. Cardiology. 2006;106:73and;ndash;81.Paymard M, Higgins MD, Sinhal A, et al. Surgical or Percutaneous Repair of Sinus of Valsalva Rupture: Case Series and Literature Review. Heart Views. 2023;24(3):148-152. Wang ZJ, Zou CW, Li DC, et al. Surgical repair of sinus of Valsalva aneurysm in Asian patients. Ann Thorac Surg 2007; 84:156 and;ndash;160Ayati A, Toofaninejad N, Hosseinsabet A, et al. Transcatheter closure of a ruptured sinus of valsalva: a systematic review of the literature. Front Cardiovasc Med. 2023;10:1227761.Huang TT, Shan JG, Lin JH. Rupture of a non sinus of Valsalva aneurysm during pregnancy: Case report and review of literatures. Niger J Clin Pract. 2023;26(2):250-252.Sawyers JL,and;nbsp; Adams JE,and;nbsp; Scott HW. Surgical treatment of aneurysms of the aortic sinuses with aorticoatrial fistula; experimental and clinical study. Surgery. 1957;41(1):26-42Doost A, Craig JA, Soh SY. Acute rupture of a sinus of Valsalva aneurysm into the right atrium: a case report and a narrative review. BMC Cardiovasc Disord. 2020;20(1):84.