Sinus of Valsalva aneurysm is a rare cardiac anomaly which is more often congenital than acquired. Rupture of the aneurysm can present as plain as an asymptomatic murmur to as dramatic as a myocardial infarction or cardiogenic shock or even death. Ruptured sinus of Valsalva (RSOV) is very rare in the elderly, and an asymptomatic rupture in an octogenarian is rarer still. An octogenarian, accompanying his wife for her diabetic follow-up, was found to have a continuous murmur by chance examination. Echocardiography unmasked a RSOV; surprisingly, the elderly man was completely asymptomatic. The patient was referred to a cardiothoracic center for further management. A RSOV is a precarious disposition needing prompt recognition and urgent intervention even though asymptomatic. This case report highlights the importance of recognizing such entities even among the elderly despite its rarity. This case also highlights the cardiovascular auscultation as one of the most important, simple, and inexpensive clinical investigations.

Ankyloglossia or tongue-tie is caused by an abnormally short, thick lingual frenum restricting the normal movements and functions of tongue. The lingual frenum may be fibrous or muscular and the tie may be complete or partial. This article describes the surgical management of an 18 year old female patient with ankyloglossia associated with reduced tongue mobility and speech difficulty. The treatment included frenectomy using a diode LASER accompanied by tongue training exercise and speech therapy. The patient showed increased tongue movements with uneventful healing after six months.