Repair of ruptured valsalva aneurysm through right atrium

Rupture of sinus valsalva aneurysm is a very rare cardiac pathology. thirty years old female patient presented with symptoms of congestive heart failure. she became symptomatic after the rupture of sinus valsalva aneurysm originating from right coronary sinus. aneurysm sac was resected and the defect was repaired with patch through the right atrium. the treatment of ruptured sinus valsalva aneurysm is surgery. aortotomy is usually needed for surgical exposure but in selected cases where the aneurysm is ruptured to the right atrium, isolated right atrial exposure can be performed. in case of loose atrial tissue, it is important to use healthy tissues during patch closure.