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Case of the week – 06-11: ‘Ringing bell’ sinus of valsalva aneurysm

Case of the week – 06-11: ‘Ringing bell’ sinus of valsalva aneurysm. Clinical History : A 42-yr-old ♂, recent onset breathlessness. Examination: Grade 5/6 continuous murmur in 4th left I/C space. ECG: RBBB with first-degree heart block.

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Case of the week – 06-11: ‘Ringing bell’ sinus of valsalva aneurysm

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  1. Case of the week – 06-11: ‘Ringing bell’ sinus of valsalva aneurysm Clinical History: A 42-yr-old ♂, recent onset breathlessness. Examination: Grade 5/6 continuous murmur in 4th left I/C space. ECG: RBBB with first-degree heart block. Echo: A spherical mass rapidly moving to-and-fro across the TV, flow-filled and probably communicating with the non-coronary Sinus of Valsalva. CMR: RV-VLA confirm the communication of the aneurysm with the non-coronary SOV and revealed its rapid oscillation across the TV. X-ray angiography: Confirmed the findings. Perspective: A mobile SOV aneurysm is highly unusual. Here multimodality approach including CMR aided precise delineation of anatomical and functional characteristics. CMR system: 1.5 T, Magnetom Avanto, Siemens, Germany Gurpreet Singh Gulati, Ajay K Gopal, Vinay K Bahl Cardiothoracic Center, All India Institute of Medical Sciences, Ansari Nagar, New Delhi-110029, India

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