Rupture of Sinus of Valsalva Aneurysm into Interventricular Septum: Role of Cardiac CT

Sinus of Valsalva aneurysm dissecting and forming sinus tract into interventricular septum is an extremely rare complication of sinus of Valsalva aneurysm. Echocardiography and conventional angiography were used earlier to diagnose ruptured sinus of Valsalva aneurysm. Cardiac CT has emerged as a valuable non-invasive diagnostic tool for evaluation of complications of sinus of Valsalva aneurysm. In this article, we report two cases of ruptured sinus of Valsalva aneurysm arising from right and left coronary sinuses into the interventricular septum without aorto-cardiac shunt formation evaluated using 256 slice cardiac CT imaging. After diagnosis on cardiac CT, these findings were confirmed perioperatively and were repaired surgically.