Ruptured Sinus of Valsalva Aneurysm Presenting With Aorto–Right Atrial Fistula

Key Points

• A ruptured sinus of Valsalva aneurysm leads to an aorto-right atrial fistula.
• Severe hemodynamic changes, including reduced cardiac output, were observed in affected patients.
• Case review with imaging techniques showed cardiac complications due to fistula formation.
• Urgent management strategies are necessary to address potential fatal outcomes.