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Circulation, Vol 63, 705-711, Copyright © 1981 by American Heart Association

ARTICLES

Echocardiographic diagnosis of congenital sinus of Valsalva aneurysm with dissection of the interventricular septum

PJ Engel, JS Held, J van der Bel-Kahn and H Spitz

A case is reported in which a congenital aneurysm of the right coronary sinus of Valsalva ruptured and dissected into the interventricular septum. M-mode and cross-sectional echocardiographic examination allowed accurate preoperative assessment of the pathologic anatomy, which was confirmed by angiography, surgery and autopsy. Dissection of the interventricular septum by a congenital sinus of Valsalva aneurysm is a rare lesion, has a poor prognosis, and can be diagnosed noninvasively with echocardiography.

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