Alejandro  E. Contreras,Alejandro  R. Peirone,Ignacio Juaneda,
Repair of Ruptured Sinus of Valsalva Aneurysm: Rare Cause of Acute Onset Congestive Heart Failure in Down’s Syndrome
Journal of Integrative Cardiology Open Access
2020
2674-2489
http://dx.doi.org/10.31487/j.JICOA.2020.03.10
https://www.sciencerepository.org/repair-of-ruptured-sinus-of-valsalva-aneurysm-rare-cause-of_JICOA-2020-3-110 
Abstract: 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.Keywords: Congenital heart disease, Aneurysm, heart failure, congenital heart surgery