Introduction
Rupture of sinus Valsalva (RSVA) to right atrium(RA) causes significant left to right shunt, tricuspid regurgitation, RV failure and finally biventricular heart failure may happen[1]. If being uncorrected it will result in deterioration of heart function, hence, early invasive management is advised. If possible, trans-catheter approach is preferred over open surgery in cases with RSVA. Coexisting cardiac malformation may be present in patients with SVA. Ventricular septal defect or aortic valve regurgitation may be present in about 30 to 40% of patients[2]. Recent report by Mittal et al, described a case with newly diagnosed un-ruptured sinus Valsalva and previous history of ASD closure during infancy[3]. Platypnea-orthodeoxia (POS) is also a rare condition in which the patient becomes hypoxic in the upright position. Herein we presented a case with POS after RSVA device closure.