The sinus of Valsalva aneurysm is a relatively rare condition that may be congenital or acquired. We present a case of a young man who was admitted to the emergency department with acute dyspnoea whilst playing football. After investigation, the diagnosis of a ruptured right sinus of Valsalva aneurysm into the right atrium was made. The patient also had a bicuspid aortic valve. Percutaneous approach to close the fistula was unsuccessful and the patient underwent surgical closure of the fistula with replacement of his bicuspid aortic valve.
 Hanai M., Kurosawa H., Sakamoto Y., Nagahori R., Saito F., Naganuma H., A case report of aortic valve replacement following ruptured aneurysm of the sinus of Valsalva with bicuspid aortic valve, Japan Journal of Thorac Cardiovasc Surg., 1998, 46, 509–12
 Ohkado A., Akiyama K., Hirota J., Shiina Y., A case of ruptured sinus of Valsalva aneurysm with bicuspid aortic valve, Kyobu Geka., 1996, 49, 567–9
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