{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:39:41Z","timestamp":1786649981843,"version":"build-2736575974"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:p>Our case presents a 53-year-old male with type 2 diabetes and dyslipidemia presenting to the emergency department with symptoms of chest pressure, palpitations, dyspnea, and exercise intolerance. On initial imaging, an abnormal color flow signal was seen that was initially thought to be secondary to a Gerbode defect. However, using more detailed imaging, cardiac computed tomography angiography suggested the possibility of a noncoronary sinus of Valsalva aneurysm (SOVA) rupture into the right atrium, making the diagnosis challenging. Finally, transesophageal echocardiography confirmed rupture of a SOVA. This case report highlights the importance of maintaining a high index of suspicion when considering rare cardiac anomalies and emphasizes the significance of using different imaging modalities to reach an accurate diagnosis.<\/jats:p>","DOI":"10.4103\/heartviews.heartviews_48_24","type":"journal-article","created":{"date-parts":[[2025,1,4]],"date-time":"2025-01-04T09:00:09Z","timestamp":1735981209000},"page":"174-178","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["The Heart\u2019s Secret Bridge: Ruptured Sinus of Valsalva Aneurysm Masquerading as a Gerbode Defect"],"prefix":"10.4103","volume":"25","author":[{"given":"Khalid","family":"Sawalha","sequence":"first","affiliation":[{"name":"Cardiometabolic Fellow, Department of Medicine, University Health Truman Medical Center, University of Missouri-Kansas City, Kansas City, Missouri, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angel","family":"Lopez-Candales","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, University Health Truman Medical Center, University of Missouri-Kansas City, Kansas City, Missouri, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1,4]]},"reference":[{"key":"R1-20260423","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1097\/00000658-195809000-00012","article-title":"Syndrome of left ventricular-right atrial shunt; successful surgical repair of defect in five cases, with observation of bradycardia on closure","volume":"148","author":"Gerbode","year":"1958","journal-title":"Ann Surg"},{"key":"R2-20260423","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1002\/clc.22359","article-title":"Sinus of Valsalva aneurysms: Review of the literature and an update on management","volume":"38","author":"Weinreich","year":"2015","journal-title":"Clin Cardiol"},{"key":"R4-20260423","doi-asserted-by":"crossref","first-page":"24","DOI":"10.4103\/aca.ACA_243_17","article-title":"Rupture of sinus of Valsalva \u2013 A 15 years single institutional retrospective review: Preoperative heart failure has an impact on post operative outcome?","volume":"22","author":"Diwakar","year":"2019","journal-title":"Ann Card Anaesth"},{"key":"R5-20260423","doi-asserted-by":"crossref","first-page":"1573","DOI":"10.1016\/S0003-4975(99)01045-0","article-title":"Sinus of Valsalva aneurysm or fistula: Management and outcome","volume":"68","author":"Takach","year":"1999","journal-title":"Ann Thorac Surg"},{"key":"R6-20260423","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/S0022-5223(19)40104-9","article-title":"Aneurysm of the sinus of Valsalva producing obstruction of the left main coronary artery","volume":"72","author":"Garcia-Rinaldi","year":"1976","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R7-20260423","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/S0022-5223(19)37013-8","article-title":"Ruptured aneurysms of the sinus of Valsalva in oriental patients","volume":"99","author":"Chu","year":"1990","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R9-20260423","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1007\/s12055-019-00813-2","article-title":"Geometry of cusp and root determines aortic valve function","volume":"36","author":"Matsushima","year":"2020","journal-title":"Indian J Thorac Cardiovasc Surg"},{"key":"R10-20260423","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1186\/s12872-020-01383-7","article-title":"Acute rupture of a sinus of Valsalva aneurysm into the right atrium: A case report and a narrative review","volume":"20","author":"Doost","year":"2020","journal-title":"BMC Cardiovasc Disord"}],"container-title":["Heart Views"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/heartviews.heartviews_48_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:00:44Z","timestamp":1786647644000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/heartviews.heartviews_48_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/heartviews.heartviews_48_24","relation":{},"ISSN":["1995-705X","0976-5123"],"issn-type":[{"value":"1995-705X","type":"print"},{"value":"0976-5123","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7]]},"assertion":[{"value":"2024-04-27","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-20","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}