PMC9195107_01
Left: Transesophageal echocardiogram short axis. Arrow A, sinus of Valsalva aneurysm, arrow B, left noncoronary cusp, arrow C, coronary cusp. Right: Transesophageal echocardiogram short axis with Doppler. Arrow D, sinus of Valsalva aneurysm. This view does not show rupture.
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Transesophageal echocardiogram (TEE) was then done, which showed mildly dilated aortic root, noncoronary SOVA with possible communication to the right atrium, suggestive of ruptured SOVA (Fig. 1, Video).