Aortic sinus aneurysms can burst or rupture into adjacent cardiac chambers, which can lead to heart failure if untreated.

Treatment includes blood pressure control but surgical repair may be needed, especially if the aneurysm ruptures.

If unruptured, sinus of Valsalva aneurysm (commonly abbreviated SVA or SOVA) is usually asymptomatic and typically goes undetected until symptoms appear or medical imaging is performed for other reasons.

Even less common, but more serious, presentations are embolic stroke and myocardial infarction due to blockage of a coronary artery by the aneurysm.

[2] A ruptured aneurysm typically leads to an aortocardiac shunt and progressively worsening heart failure.

For example, if the sinus ruptures in a low pressure area like the right atrium or right ventricle then a continuous type of murmur is heard.

[2] Medical therapy of aneurysm of the aortic sinus includes blood pressure control through the use of drugs, such as beta blockers.