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.