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Chest, Vol 88, 633-635, Copyright © 1985 by American College of Chest Physicians

ARTICLES

An unusual echocardiographic finding in a ruptured sinus of Valsalva aneurysm

RJ Coralli, WL Olmsted and JM Felner

A patient with a ruptured sinus of Valsalva aneurysm (RSVA) demonstrated an unusual two-dimensional echocardiographic manifestation of this entity. A discrete mass of echoes, appearing attached to a posterior leaflet of the tricuspid valve, moved to and fro into the right ventricle during diastole and into the right atrium in systole. This echocardiographic appearance mimics a vegetation of the tricuspid valve, a flail tricuspid leaflet, a right atrial myxoma or a pedunculated right atrial thrombus. Therefore, the differential diagnosis of this echocardiographic finding should include RSVA in addition to the above mentioned disorders.




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Copyright © 1985 by the American College of Chest Physicians.