Figure 1
From: Very late recurrence of sinus of Valsalva aneurysm rupture after patch repair
Transthoracic echocardiography of ruptured sinus of Valsalva aneurysm. a. Apical four chamber view of transthoracic echocardiography reveals an aneurysm with thick and hyperechoic wall at the level of tricuspid ring. b. Parasternal short-axis view shows bicuspid aortic valve and an aneurysm (SVA) protruding from right coronary cusp to the right atrium. c. In the same view, color Doppler image shows shunting from SVA into right atrium. d. Continuous wave Doppler demonstrated the continuous flow. e. Zoom-in view from figure 1c revealed the defect (arrow) at the posterior aspect of the SVA. SVA indicates sinus Valsalva aneurysm; RA, right atrium; Av, aortic valve; LA, left atrium.