Abstract
We report the case of an adult patient with the unusual combination of a perimembranous
(PM) ventricular septal defect (VSD), asymptomatic ruptured sinus of Valsalva communicating
with the right ventricle, and a bicuspid aortic valve. Bulged sinus of Valsalva might
conceal the small PM VSD, therefore the patient had no symptom-associated VSD until
grown up. However, when aortic valve regurgitation associated with prolapsed right
aortic cusp worsened and ruptured sinus of Valsalva was found by echocardiogram, the
patient underwent aortic valve replacement with anatomical surgical correction of
the aortic sinus and VSD.
Keywords
ventricular septal defect - sinus of Valsalva rupture - bicuspid aortic valve