Ruptured Sinus of Valsalva (RSOV) on Echocardiogram 25 yr old male who had H/O small VSD in childhood, closed spontaneously on follow up, presents with sudden onset of HF, loud continuous murmur left sternal border. Clinical feature typical of RSOV Dr. Gopalan Rajesh @DrRajeshG1 #RSOV #Ruptured #Sinus #Valsalva #Echocardiogram #POCUS #clinical #cardiology #psax #doppler