{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T12:01:12Z","timestamp":1782475272458,"version":"3.54.5"},"reference-count":0,"publisher":"Pakistan Medical Association","issue":"6 (Supple)","license":[{"start":{"date-parts":[[2024,7,7]],"date-time":"2024-07-07T00:00:00Z","timestamp":1720310400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Pak Med Assoc"],"abstract":"<jats:p>Sinus of Valsalva aneurysm (SoVA) is a rare disease withless than 1% prevalence in the population. Most cases areasymptomatic, however, significant clinicalmanifestations are possible due to fistula formation andsudden rupture resulting in cardiac shunt. Eventually itmay develop into progressive heart failure with highmorbidity.We report the case of a 33 year old female patient whopresented with shortness of breath, ascites, and recurringhospitalisation. The cardiac examination revealed sinustachycardia along with loud and continuous murmurs onthe left parasternal border. Several standard diagnosticprocedures could not be performed due to malignantarrhythmia in supine position. Echocardiographyexamination revealed SoV rupture with a gerbode defect,which was the underlying cause of severe retractableheart failure.Keywords: Sinus of Valsalva Aneurysm, Supine Position,Aortic Aneurysm, Heart Septal, Ventricular, HeartMurmurs, Fistula, Arrhythmias, Cardiac, Dyspnoea,Tachycardia<\/jats:p>","DOI":"10.47391\/jpma.s6-acsa-12","type":"journal-article","created":{"date-parts":[[2024,7,13]],"date-time":"2024-07-13T13:58:19Z","timestamp":1720879099000},"page":"S65-S68","source":"Crossref","is-referenced-by-count":1,"title":["Retractable congestive heart failure due to sinus valsalva rupture with coexisting gerbode defect: a rare case report"],"prefix":"10.47391","volume":"74","author":[{"family":"Bestya Presidiana","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Anudya Kartika Ratri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Ririn Ramli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Andrianto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Arief Rakhman Hakim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"26547","published-online":{"date-parts":[[2024,7,7]]},"container-title":["Journal of the Pakistan Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/download\/21459\/3396","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/download\/21459\/3396","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,13]],"date-time":"2024-07-13T13:58:20Z","timestamp":1720879100000},"score":1,"resource":{"primary":{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/view\/21459"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,7]]},"references-count":0,"journal-issue":{"issue":"6 (Supple)","published-online":{"date-parts":[[2024,7,13]]}},"URL":"https:\/\/doi.org\/10.47391\/jpma.s6-acsa-12","relation":{},"ISSN":["0030-9982","0030-9982"],"issn-type":[{"value":"0030-9982","type":"electronic"},{"value":"0030-9982","type":"print"}],"subject":[],"published":{"date-parts":[[2024,7,7]]}}}