Cystic Mass in Interventricular Septum; A Rare Presentation of Sinus of Valsalva Aneurysm


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A young male presented with progressively increasing breathlessness for one year. Echocardiography showed a cystic echolucent cavity in interventricular septum communicating with sinus of Valsalva. A diagnosis of unruptured aneurysm of Valsalva dissecting into the interventricular septum was made. This complication is extremely rare and early recognition may prevent a potential catastrophe. (Echocardiography 2010;27:E117-E118)