Incremental Value of Live/Real Time Three-Dimensional Transesophageal Echocardiography over the Two-Dimensional Technique in the Assessment of Sinus of Valsalva Aneurysm Rupture

We present an adult patient with rupture of the right sinus of Valsalva aneurysm in whom the two-dimensional transesophageal echocardiogram failed to show the rupture. On the other hand, live/real time three-dimensional transesophageal echocardiography clearly delineated the site of rupture into the pericardium and mediastinum. (Echocardiography 2011;28:918-920)