From clues to clarity: multimodality imaging uncovers ruptured sinus of Valsalva aneurysm masquerading as tricuspid valve endocarditis

Ruptured sinus of Valsalva aneurysm (RSOVA) is a rare but life-threatening condition that may be misdiagnosed due to nonspecific symptoms. We report the case of a 24-year-old postpartum female who presented with acute right heart failure and was initially misdiagnosed with tricuspid valve infective...

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Main Authors: Jaikrit Bhutani, Prateek Jain, Reeva Bathla, Divya Mangal
Format: Article
Language:English
Published: PAGEPress Publications 2025-03-01
Series:Monaldi Archives for Chest Disease
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Online Access:https://www.monaldi-archives.org/macd/article/view/3310
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author Jaikrit Bhutani
Prateek Jain
Reeva Bathla
Divya Mangal
author_facet Jaikrit Bhutani
Prateek Jain
Reeva Bathla
Divya Mangal
author_sort Jaikrit Bhutani
collection DOAJ
description Ruptured sinus of Valsalva aneurysm (RSOVA) is a rare but life-threatening condition that may be misdiagnosed due to nonspecific symptoms. We report the case of a 24-year-old postpartum female who presented with acute right heart failure and was initially misdiagnosed with tricuspid valve infective endocarditis. Detailed evaluation revealed RSOVA originating from the right coronary sinus with left-to-right shunting into the right ventricle. This case highlights the importance of clinical suspicion and multimodal imaging for accurate diagnosis in postpartum females presenting with dyspnea, chest pain, and a continuous murmur. Early diagnosis and timely intervention are crucial to improving outcomes.
format Article
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language English
publishDate 2025-03-01
publisher PAGEPress Publications
record_format Article
series Monaldi Archives for Chest Disease
spelling doaj-art-0bc25eb14c104ba492546937e5aa42fb2025-08-20T03:42:02ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642025-03-0110.4081/monaldi.2025.3310From clues to clarity: multimodality imaging uncovers ruptured sinus of Valsalva aneurysm masquerading as tricuspid valve endocarditisJaikrit Bhutani0https://orcid.org/0000-0001-7863-5303Prateek Jain1https://orcid.org/0009-0009-5195-9135Reeva Bathla2Divya Mangal3Department of Cardiology, Sawai Man Singh Medical College, JaipurDepartment of Cardiology, Sawai Man Singh Medical College, JaipurCross Sectional and Body Imaging Fellowship, Department of Diagnostic and Intervention Radiology, All India Institute of Medical Sciences, RishikeshDepartment of Cardiothoracic and Vascular Surgery, Narayana Hospital, Jaipur Ruptured sinus of Valsalva aneurysm (RSOVA) is a rare but life-threatening condition that may be misdiagnosed due to nonspecific symptoms. We report the case of a 24-year-old postpartum female who presented with acute right heart failure and was initially misdiagnosed with tricuspid valve infective endocarditis. Detailed evaluation revealed RSOVA originating from the right coronary sinus with left-to-right shunting into the right ventricle. This case highlights the importance of clinical suspicion and multimodal imaging for accurate diagnosis in postpartum females presenting with dyspnea, chest pain, and a continuous murmur. Early diagnosis and timely intervention are crucial to improving outcomes. https://www.monaldi-archives.org/macd/article/view/3310Postpartum cardiovascular complicationsmultimodality imagingright heart failure
spellingShingle Jaikrit Bhutani
Prateek Jain
Reeva Bathla
Divya Mangal
From clues to clarity: multimodality imaging uncovers ruptured sinus of Valsalva aneurysm masquerading as tricuspid valve endocarditis
Monaldi Archives for Chest Disease
Postpartum cardiovascular complications
multimodality imaging
right heart failure
title From clues to clarity: multimodality imaging uncovers ruptured sinus of Valsalva aneurysm masquerading as tricuspid valve endocarditis
title_full From clues to clarity: multimodality imaging uncovers ruptured sinus of Valsalva aneurysm masquerading as tricuspid valve endocarditis
title_fullStr From clues to clarity: multimodality imaging uncovers ruptured sinus of Valsalva aneurysm masquerading as tricuspid valve endocarditis
title_full_unstemmed From clues to clarity: multimodality imaging uncovers ruptured sinus of Valsalva aneurysm masquerading as tricuspid valve endocarditis
title_short From clues to clarity: multimodality imaging uncovers ruptured sinus of Valsalva aneurysm masquerading as tricuspid valve endocarditis
title_sort from clues to clarity multimodality imaging uncovers ruptured sinus of valsalva aneurysm masquerading as tricuspid valve endocarditis
topic Postpartum cardiovascular complications
multimodality imaging
right heart failure
url https://www.monaldi-archives.org/macd/article/view/3310
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