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Giant sinus of Valsalva aneurysm: the role of multimodality imaging
  1. Zia Zuberi,
  2. Senthil Kirubakaran,
  3. Clive Lawson
  1. Department of Cardiology, St Thomas’ Hospital, London, UK
  1. Correspondence to Dr Zia Zuberi, Department of Cardiology, St Thomas’ Hospital, 6th Floor, East Wing, Westminister Bridge Road, London SE5 9RS, UK; zia_zuberi{at}

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An 82-year-old man presented with severe exertional breathlessness to the outpatient clinic. Previous medical history included hypertension and transient ischaemic attack. During routine workup, transthoracic echocardiography was performed. A large defect (*) in the anterior wall of the aortic sinus of Valsalva was identified (figure 1A) which extended into a cavity containing spontaneous echo-contrast (see online supplementary data video S1). Further imaging by CT with three-dimensional reconstruction (figure 1B,C) and cardiac magnetic …

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