Recurrent sinus of Valsalva aneurysm with right ventricular outflow tract obstruction1

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We present a patient with a recurrent sinus of Valsalva aneurysm after unsuccessful surgical repair associated with right ventricular outflow tract obstruction. Two-dimensional echocardiography accurately localized the aneurysm and played a key role in the diagnosis, since physical signs of right-sided obstruction were absent. Cardiac catheterization confirmed the diagnosis. Postoperatively, two-dimensional echocardiography appears useful in judging the success or failure of surgery.



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