Ruptured Aneurysm of Valsalva Sinus with Pseudoaneurysm and Intratumoral Thrombus: A Rare Case Report

The rupture of a sinus of Valsalva aneurysm (SVA) is a rare occurrence in cardiovascular medicine; however, it often severely compromises patients’ physiological functions and poses a life-threatening risk when it occurs [1]. Pseudoaneurysm of the sinus of Valsalva (SVpA) more frequently affects men [2]. However, we report a case of sinus of Valsalva pseudoaneurysm with thrombosis: a 30-year-old female, who experienced no physical discomfort in her daily life, accidentally discovered a ruptured aneurysm of the Valsalva sinus at the non-coronary sinus during a physical examination. The aneurysm had formed a large pseudoaneurysm, measuring 6.3 × 6.0 cm, located in the right atrioventricular sulcus. This pseudoaneurysm exerted significant pressure on the right atrium, and much of it had been filled with thrombus.