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Sinus of Valsalva aneurysm is a rare cardiac anomaly thought to be caused by a deficiency of fusion of the aorta's media with the aortic valve's annulus fibrosis, or by actual detachment. It is usually congenital but less commonly associated with endocarditis, atherosclerosis,trauma, syphilis, or aortic dissection.1 Since the first report in the mid-eighteenth century, sinus of Valsalva aneurysm has been described increasingly.
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