Key result
Surgical repair successfully treats sinus of Valsalva aneurysm and atrial flutter in bicuspid aortic valve.
Why the study?
The clinical manifestations and complications of sinus of Valsalva aneurysm in patients with bicuspid aortic valve are not well characterized.
Case Report (n=1)
This case highlights a rare manifestation of congenital bicuspid aortic valve complicated by a giant sinus of Valsalva aneurysm leading to right atrial compression and secondary atrial flutter.
May prompt arrhythmia surveillance in BAV-SoVA; leaves open whether RA compression drives flutter or informs surgical timing.
This article presents a clinical case of successful surgical treatment of a young patient with congenital BAV complicated by the development of a sinus of Valsalva aneurysm (SoVA). The aneurysm was associated with marked compression of the right atrium, which may have contributed to atrial structural remodeling and provided a potential substrate for atrial flutter. The reduced left ventricular ejection fraction was considered potentially related to tachycardia‐induced cardiomyopathy. Notably, despite the severity of the underlying pathology, the patient’s clinical presentation was limited to frequent palpitations and pronounced weakness.
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Tuleutayev et al. (2026) conducted a case report in Bicuspid aortic valve with sinus of Valsalva aneurysm and atrial flutter (n=1). Surgical treatment was evaluated. Successful surgical treatment was performed on a young patient with congenital bicuspid aortic valve complicated by a sinus of Valsalva aneurysm and atrial flutter.
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