TY - JOUR AR - JICOA-2020-3-110 TI - Repair of Ruptured Sinus of Valsalva Aneurysm: Rare Cause of Acute Onset Congestive Heart Failure in Down’s Syndrome AU - Alejandro , E. Contreras AU - Alejandro , R. Peirone AU - Ignacio, Juaneda JO - Journal of Integrative Cardiology Open Access PY - 2020 DA - Mon 22, Jun 2020 SN - 2674-2489 DO - http://dx.doi.org/10.31487/j.JICOA.2020.03.10 UR - https://www.sciencerepository.org/repair-of-ruptured-sinus-of-valsalva-aneurysm-rare-cause-of_JICOA-2020-3-110 KW - Congenital heart disease, Aneurysm, heart failure, congenital heart surgery AB - A 20-year-old boy with Down´s syndrome presented to the emergency department with new onset acute heart failure. Right side chest effusion and cardiomegaly was observed on chest x-ray. A mobile aneurysmal sac protruding into the right atrium was detected and a ruptured aneurysm of the right coronary sinus of Valsalva was observed in transthoracic echocardiogram. Cardiac angiography catheterization confirmed the diagnosis. Surgical repair consisting of aneurysm resection and defect closure was performed shortly after with pericardium reinforced suture through the right atrium. The patient was discharged uneventfully.