Correspondence Address:
Dr. Monish S Raut
Department of Cardiac Anaesthesia and Cardiac Surgery, SGRH, New Delhi
India

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A 22-year-old male patient presented with a history of progressive breathlessness for last 2 years. Echocardiographic evaluation revealed ruptured sinus of valsalva (RSOV) (7 mm wide) of right coronary cusp draining into right ventricle [Figure 1] and [Figure 2]. Small perimembranous ventricular septal defect 5 mm wide was seen with left to right shunt [Figure 3] and [Figure 4]. Moderate aortic regurgitation was also observed. Patient was operated on with excision of RSOV and closure of ventricular septal defect with dacron and aortic valve replacement. Postoperative recovery of the patient was smooth and stable.{Figure 1}{Figure 2}{Figure 3}{Figure 4}