{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T13:01:40Z","timestamp":1784552500091,"version":"3.55.0"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Sinus of valsalva aneurysm (SOV) is a rare aortic pathology that may be congenital or acquired and often remains clinically silent until rupture. When rupture occurs, it can lead to acute and life-threatening hemodynamic deterioration. We report the case of a 65-year-old male who presented with sudden-onset dyspnea and peripheral edema and was diagnosed with acute heart failure secondary to a ruptured SOV. Transthoracic and transesophageal echocardiography, followed by computed tomography angiography, demonstrated a ruptured aneurysm originating from the noncoronary sinus with significant left-to-right shunting. Owing to extensive aortic root involvement, the patient underwent a Bentall procedure with successful clinical outcome. This case highlights the importance of considering ruptured SOV in the differential diagnosis of acute heart failure, particularly in elderly patients, and underscores the critical role of comprehensive imaging and timely surgical intervention in guiding optimal management.<\/jats:p>","DOI":"10.4103\/jcecho.jcecho_7_26","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T21:02:55Z","timestamp":1784322175000},"page":"340-343","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Acute Heart Failure Caused by a Ruptured Sinus of Valsalva Aneurysm: A Rare Presentation"],"prefix":"10.4103","volume":"36","author":[{"given":"Mucahit","family":"Tan","sequence":"first","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine, Yuzuncu Yil University, Van, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sinan","family":"Karakus","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine, Yuzuncu Yil University, Van, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naci","family":"Babat","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine, Yuzuncu Yil University, Van, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahin","family":"Sahinalp","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Faculty of Medicine, Yuzuncu Yil University, Van, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"key":"R2-20260720","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1186\/s40792-019-0608-7","article-title":"A rare case of unruptured extracardiac multiple sinus of valsalva aneurysms originating from the orifices with partial aortic wall defects","volume":"5","author":"Ohno","year":"2019","journal-title":"Surg Case Rep"},{"key":"R3-20260720","doi-asserted-by":"crossref","first-page":"24","DOI":"10.4103\/aca.ACA_243_17","article-title":"Rupture of sinus of valsalva \u2013A 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":"R4-20260720","doi-asserted-by":"crossref","first-page":"3538","DOI":"10.1093\/eurheartj\/ehae179","article-title":"2024 ESC guidelines for the management of peripheral arterial and aortic diseases","volume":"45","author":"Mazzolai","year":"2024","journal-title":"Eur Heart J"},{"key":"R5-20260720","first-page":"799","article-title":"Safety and efficacy of transcatheter closure of ruptured sinus of valsalva aneurysm","volume":"46","author":"Xiao","year":"2018","journal-title":"Zhonghua Xin Xue Guan Bing Za Zhi"},{"key":"R6-20260720","doi-asserted-by":"crossref","DOI":"10.3389\/fcvm.2023.1227761","article-title":"Transcatheter closure of a ruptured sinus of valsalva: A systematic review of the literature","volume":"10","author":"Ayati","year":"2023","journal-title":"Front Cardiovasc Med"}],"container-title":["Journal of Cardiovascular Echography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/jcecho.jcecho_7_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T12:02:58Z","timestamp":1784548978000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/jcecho.jcecho_7_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":5,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jcecho.jcecho_7_26","relation":{},"ISSN":["2211-4122","2347-193X"],"issn-type":[{"value":"2211-4122","type":"print"},{"value":"2347-193X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2026-01-07","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-28","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}