“…Sinus of Valsalva aneurysm results from dilation of an aortic sinus,can be life-threatening if it ruptures.Sudden aneurysm rupture can trigger rapidly progressive heart failure.Ruptured sinus of Valsalva aneurysm repair and valve replacement are usually required for treatment.Transcatheter closure has emerged as an effective alternative to surgical management.Transcatheter closure of ruptured sinus of Valsava aneurysm is a safe and effective strategy and associated with a good long-term outcome. [11,12,13,14] A formal echocardiographic approach in a general intensive care unit requires a 24 hour availability of an expert in echocardiography, who could not be easily found [15].In the real world, it does. Attention is usually focussed on organ rupture in tra c accidents.Unexplained dyspnea, chest tightness, palpitations, do echocardiography are useful.…”