{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T20:23:02Z","timestamp":1754598182539,"version":"3.37.3"},"reference-count":6,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T00:00:00Z","timestamp":1631836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T00:00:00Z","timestamp":1631836800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Cardiovasc Disord"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Unruptured sinus of valsalva aneurysm (SOVA) are typically asymptomatic, and hence can be easily ignored. Ruptured sinus of valsalva aneurysm (RSOVA) usually protrude into the right atrium or ventricular. However, in this case, the RSOVA protruded into the space between the right atrium and the visceral pericardium leading to compression of the right proximal coronary artery. Very few such cases have been reported till date.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We describe a case of ruptured right SOVA in a 61-year-old man with syncope and persistent hypotension. At the beginning, considered the markedly elevated troponin, acute myocardial infarction was considered. However, emergency coronary angiography unexpectedly revealed a large external mass compressed right coronary artery (RCA) resulting in severe proximal stenosis. Then, aorta computed tomography angiography (CTA) and urgent surgery confirmed that the ruptured right SOVA led to external compression of the right proximal coronary artery. Finally, ruptured right SOVA repair and RCA reconstruction were successfully performed, and the patient was discharged with no residual symptoms.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>It is very important to be vigilant about the existence of SOVA. RSOVA should be suspected in a patient presenting with acute hemodynamic compromise, and echocardiography should be immediately performed. Moreover, it is very important to achieve dynamic monitoring by using cardiac color ultrasound. Definitive diagnosis often requires cardiac catheterization, and an aortogram should be performed unless endocarditis is suspected.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12872-021-02247-4","type":"journal-article","created":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T11:05:47Z","timestamp":1631876747000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Ruptured sinus of valsalva aneurysm presenting as syncope and hypotension: a case report"],"prefix":"10.1186","volume":"21","author":[{"given":"Guang Ying","family":"Zhuo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pei Yong","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li","family":"Luo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qian","family":"Tang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1404-6643","authenticated-orcid":false,"given":"Tao","family":"Xiang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,9,17]]},"reference":[{"issue":"2","key":"2247_CR1","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1159\/000092635","volume":"106","author":"DN Feldman","year":"2006","unstructured":"Feldman DN, Roman MJ. Aneurysms of the sinuses of valsalva. Cardiology. 2006;106(2):73\u201381.","journal-title":"Cardiology"},{"issue":"4","key":"2247_CR2","doi-asserted-by":"publisher","first-page":"930","DOI":"10.1016\/0002-8703(93)90709-I","volume":"126","author":"V Dev","year":"1993","unstructured":"Dev V, Goswami KC, Shrivastava S, et al. Echocardiographic diagnosis of aneurysm of the sinus of valsalva. Am Heart J. 1993;126(4):930\u20136.","journal-title":"Am Heart J"},{"issue":"2","key":"2247_CR3","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1016\/S0022-5223(19)37013-8","volume":"99","author":"SH Chu","year":"1990","unstructured":"Chu SH, Hung CR, How SS, et al. Ruptured aneurysms of the sinus of valsalva in oriental patients. J Thorac Cardiovasc Surg. 1990;99(2):288\u201398.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2247_CR4","first-page":"1169","volume":"41","author":"R Erbel","year":"2014","unstructured":"Erbel R, Aboyans V, Boileau C, et al. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). Eur Heart J. 2014;41:1169\u2013252.","journal-title":"Eur Heart J"},{"issue":"2","key":"2247_CR5","first-page":"301","volume":"9","author":"D Attias","year":"2008","unstructured":"Attias D, Messika-Zeitoun D, Cachier A, et al. A multi-perforated man: asymptomatic ruptured sinus of valsalva aneurysm associated with an atrial and ventricular septal defect. Eur Heart J - Cardiovasc Imaging. 2008;9(2):301\u20132.","journal-title":"Eur Heart J - Cardiovasc Imaging"},{"issue":"10","key":"2247_CR6","doi-asserted-by":"publisher","first-page":"2419","DOI":"10.1253\/circj.CJ-12-0157","volume":"76","author":"S Fujimoto","year":"2012","unstructured":"Fujimoto S, Kondo T, Kodama T, et al. Coronary computed tomography angiography-based coronary risk stratification in subjects presenting with no or atypical symptoms. Jpn Circ J. 2012;76(10):2419.","journal-title":"Jpn Circ J"}],"container-title":["BMC Cardiovascular Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12872-021-02247-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12872-021-02247-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12872-021-02247-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T11:06:06Z","timestamp":1631876766000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmccardiovascdisord.biomedcentral.com\/articles\/10.1186\/s12872-021-02247-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,17]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["2247"],"URL":"https:\/\/doi.org\/10.1186\/s12872-021-02247-4","relation":{},"ISSN":["1471-2261"],"issn-type":[{"type":"electronic","value":"1471-2261"}],"subject":[],"published":{"date-parts":[[2021,9,17]]},"assertion":[{"value":"24 December 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 September 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 September 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Informed consent was obtained from the patient for publication of this case report.\u00a0The copy of the consent form is available for review by the Editor of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"449"}}