Abstract
Ruptured sinus of Valsalva aneurysms are rare. We report a case in which the usual clinical manifestations were not present and the patient was initially treated as an acute pulmonary embolus. Despite three negative echocardiograms an intra-cardiac shunt was suspected because of a persistently elevated mixed venous oxygen saturation. Cardiac catheterisation confirmed the diagnosis. Surgical repair was performed and post operative recovery was uneventful.
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Peake, S.L., Pavia, J.A., Bihari, D.J. et al. An uncommon cause of acute right ventricular failure and high mixed venous oxygen saturation. Intensive Care Med 18, 368–370 (1992). https://doi.org/10.1007/BF01694367
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DOI: https://doi.org/10.1007/BF01694367