We report a rare case of interventricular septal dissecting aneurysm,
that resulting from ruptured sinus of Valsalva aneurysm and paravalvular
aortic root pseudoaneurysm. A 60-year-old man presented with chest pain
and palpitation, the diagnosis was confirmed using multimodality
imaging, including transthoracic echocardiography, computer tomography
angiogram and coronary angiogram. The patient underwent the modified
Cabrol procedure, repaired ruptured sinus of Valsalva aneurysm and
closured the communication of the pseudoaneurysm in the department of
cardiac surgery. In this case report, we provide information for
clinicians diagnostic thought, and highlight the role of multimodality
cardiac imaging.