Severe aortic regurgitation from a ruptured Valsalva aneurysm is rare. We report on a 28-year-old male patient was presented with a Ruptured Sinus of Valsalva Aneurysm by Transthoracic echocardiography. Intraoperatively, a perforated aortic lobe was found to have caused specific aortic regurgitant flow. The patient underwent successful surgery. Intraoperative transesophageal echocardiography provides important information for the surgical plan.

ABSTRACT: Objective To investigate the Aneurysmal of the left sinus of Valsalva, and to improve the understanding of the disease and the level of diagnosis and treatment. Methods This article mainly reports a case of huge Aneurysmal of the left sinus of Valsalva patients treated with surgical treatment. Results After surgery, the prognosis of the case was good. Conclusion Aneurysmal of the left sinus of Valsalva has low incidence，which is rare in clinical with no clinical specific symptoms leading to difficulty in early detection. The appropriate surgical method should be considered to the patient condition, to prevent the tumor rupture and the death of patients.

Objective To investigate the treatment of pulmonary artery aneurysms (PAA), and to improve the understanding of the disease and the level of diagnosis and treatment. Methods This article mainly reports a case of huge PAA patients treated with surgical treatment. Results After surgery, the prognosis of the case was good. Conclusion PAA has low incidence，which is rare in clinical with no clinical specific symptoms leading to difficulty in early detection. The appropriate surgical method should be considered to the patient condition, to prevent the tumor rupture and the death of patients.