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Eur J Echocardiogr. 2009 Jul;10(5):721-3. doi: 10.1093/ejechocard/jep053. Epub 2009 May 13.

Unusual cause of rapidly progressive right-sided heart failure: aortic sinus of Valsalva aneurysm causing ball valve obstruction of the tricuspid valve.

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  • 1Department of Cardiology, Post Graduate Institute of Medical Education & Research, Chandigarh, India.


A rare presentation with rapidly progressive right heart failure due to tricuspid inflow obstruction (simulating right-sided valvular heart disease) caused by a non-coronary cusp sinus of Valsalva aneurysm with small perforation is reported. The aneurysm was causing ball valve obstruction at the tricuspid valve, leading to dilated right atrium and back pressure changes which were relieved after successful aneurysectomy.

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