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Echocardiography. 2011 Sep;28(8):918-20. doi: 10.1111/j.1540-8175.2011.01461.x. Epub 2011 Aug 9.

Incremental value of live/real time three-dimensional transesophageal echocardiography over the two-dimensional technique in the assessment of sinus of valsalva aneurysm rupture.

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Division of Cardiovascular Diseases, Thoracic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.


We present an adult patient with rupture of the right sinus of Valsalva aneurysm in whom the two-dimensional transesophageal echocardiogram failed to show the rupture. On the other hand, live/real time three-dimensional transesophageal echocardiography clearly delineated the site of rupture into the pericardium and mediastinum.

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