«A boot in a heart». A case report of non-ruptured aneurysm of Valsalva sinus with a special shape and review of the literature.

The aneurysms of the Valsalva sinus are congenital or acquired aortic sinus wall dilations at the level just above the three cusps of the aortic valve, which may be asymptomatic or fatal cases if ruptures, usually into the right cardiac chambers. These cases are relatively rare. We present the case of a 72-year-old male referred for a suspected pulmonary murmur. The evaluation revealed an aneurysm of the right sinus of Valsalva, causing compression to the right ventricular outflow tract (RVOT). The echocardiogram, computed tomography, and the aortogram revealed interesting, evocative images. The patient received a mid-cap surgical repair. This paper reviews and discusses the current literature and presents the case. [ABSTRACT FROM AUTHOR]