A rare cause of heart failure in a young female: rupture of a sinus of Valsalva aneurysm into the right atrium

Sinus of Valsalva aneurysm is a rare cardiac anomaly that can be either congenital or acquired and usually remains silent until rupture, which is considered a life-threatening condition with a high mortality rate.Echocardiography is a diagnostic tool that plays a crucial role in arousing suspicion for and confirming the anatomical connection between the ruptured sinus and the cardiac chamber. Timely diagnosis is critical, and management depends on the aneurysm's size, location, and whether rupture has occurred.Asymptomatic cases may be monitored, while symptomatic or ruptured aneurysms generally require surgical repair or transcatheter intervention to prevent catastrophic outcomes.