Delayed aortic regurgitation due to traumatic pseudoaneurysm of the sinus of Valsalva

CASE: Pseudoaneurysm of the sinus of Valsalva (PSV) caused by trauma is rare. Surgical intervention is the standard treatment approach for traumatic PSV, as it has a high risk of rupture and is potentially fatal.We hereby report a 59‐year‐old man with traumatic PSV due to a traffic accident. Imaging studies revealed traumatic PSV. However, he refused surgery due to the lack of symptoms and was discharged on day 9. Two years later, he visited our hospital with cardiac failure due to severe aortic valve regurgitation (AR) induced by PSV. OUTCOME: A Bentall operation was carried out and the patient was discharged without any complications. CONCLUSIONS: This case illustrates progression to aortic valve regurgitation as a complication of traumatic PSV and stresses the point that surgical intervention should be considered even in asymptomatic cases of traumatic PSV.