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Bingo!
Nice job guys.
This is the absolute biggest SOVA I have ever seen. It was a monster.
Most common SOVA (congenital or acquired) is that of the right SOV which we see here.
Mine was not ruptured, but @sethco might have been.
Repair was almost identical to this:
Amazing the stuff you see in this field.
That’s fantastic!!
Random anecdote - my second case ever as a (paired) CA-1 resident was a ruptured sinus of valsalva case. Put in my first MAC line and PAC, and I remember looking at the TEE saying WTF even though I had no clue what I was looking at. I was hooked and that’s what led me to go into cardiac.
It was rare enough (it was a right sinus aneurysm and it ruptured into the RV so it was like a zebra inside a zebra) that we wrote it up for an SCA poster and published it. Note to the residents out there - you don’t even need this random of a case for a poster, just search out something sort of “different” and enjoy (likely if your program isn’t a buzzkill) a free trip to somewhere fun!
I’ve seen maybe 1 or 2 since, usually they are more “windsocky” than this! Very cool overall!