{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T21:25:36Z","timestamp":1789421136003,"version":"build-2803163510"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:p>We present the case of a 37 year old male who presented with new onset dyspnea, tachycardia, palpitations, and chest tightness. His initial work up demonstrated a dilated pulmonary artery with reflux of contrast dye in to the IVC. Transthoracic echocardiogram identified a \u201cwindsock\u201d appearance indicating Sinus of Valsalva aneurysm (SVA) and severe aortic regurgitation. As a result, the patient was taken for emergent surgery where the windsock tissue was surgically repaired with bovine pericardial patch. This case illuminates the uncommon occurrence of SVA and the ability to recognize these findings on multiple imaging modalities including transthoracic, transesophageal two and three dimensional echocardiography as well as direct surgical field visualization.<\/jats:p>","DOI":"10.4103\/aca.aca_229_17","type":"journal-article","created":{"date-parts":[[2018,7,25]],"date-time":"2018-07-25T08:39:12Z","timestamp":1532507952000},"page":"313-314","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Echocardiographic Evaluation of Aorta to Right Atrial Fistula Secondary to Ruptured Sinus of Valsalva Aneurysm"],"prefix":"10.4103","volume":"21","author":[{"given":"Ashley V","family":"Fritz","sequence":"first","affiliation":[{"name":"Division of Cardiothoracic Anesthesiology, Mayo Clinic Florida, Jacksonville, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn S","family":"Boles","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Anesthesiology, Mayo Clinic Florida, Jacksonville, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Archer Kilbourne","family":"Martin","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Anesthesiology, Mayo Clinic Florida, Jacksonville, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250602","doi-asserted-by":"crossref","first-page":"126","DOI":"10.15171\/jcvtr.2015.27","article-title":"Right valsalva sinus aneurysm protruding into the right ventricle: A Case report","volume":"7","author":"Afshar","year":"2015","journal-title":"J Cardiovasc Thorac Res"},{"key":"R2-20250602","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1007\/BF03091763","article-title":"Rupture of right coronary sinus of valsalva aneurysm into right ventricle","volume":"18","author":"Post","year":"2010","journal-title":"Neth Heart J"},{"key":"R3-20250602","doi-asserted-by":"crossref","first-page":"1437","DOI":"10.1213\/ANE.0000000000001577","article-title":"Sinus of valsalva aneurysm rupture misdiagnosed as a ventricular septal defect","volume":"124","author":"Togashi","year":"2017","journal-title":"Anesth Analg"},{"key":"R4-20250602","doi-asserted-by":"crossref","first-page":"938.e1","DOI":"10.1016\/j.echo.2006.02.005","article-title":"An unusual cause of pulmonary edema: Acute rupture of noncoronary sinus of valsalva aneurysm into the left atrium","volume":"19","author":"Moreo","year":"2006","journal-title":"J Am Soc Echocardiogr"},{"key":"R5-20250602","doi-asserted-by":"crossref","first-page":"1305","DOI":"10.2169\/internalmedicine.55.6563","article-title":"Ruptured right sinus of valsalva aneurysm caused by suspected takayasu's arteritis","volume":"55","author":"Narumi","year":"2016","journal-title":"Intern Med"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00660469-201821030-00020","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:16:58Z","timestamp":1787836618000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00660469-201821030-00020"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7]]},"references-count":5,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_229_17","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7]]}}}