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Incidental Dilatation of Ruptured Sinus of Valsalva Aneurysm During Catheterization

The Division of Cardiothoracic Surgery, The University of Illinois at Chicago, Chicago, Illinois, USA

The first 20% of the full text of this article appears below.

We write to express to the readers of the journal a word of caution regarding a clinical situation that we encountered recently.

A 25-year-old woman presented with a continuous murmur and a thrill over the left sternal border. An echocardiogram showed a fistulous connection from the aorta to the right ventricle (RV). Catheterization showed a large step-up in oxygen saturation in the right atrium (RA) 87% and RV 91%. The pulmonary to systemic flow ratio was 3.8. There was pulmonary hypertension (58/20 mm Hg), RV hypertension (58/28 mm . . . [Full Text of this Article]