Sinus of Valsalva aneurysms are extremely rare, and usually of a congenital nature.There are few documented cases of this condition during pregnancy, which renders unclear the therapeutic options.We here report the case of a26 years old pregnant woman Glitter Embroidery Sweatshirt who was referred to our cardiac center for the evaluation of a APP CONTROLLED heart murmur.The two-dimensional transthoracic echocardiography allowed quickly to establishthe diagnosis of a ruptured sinus of Valsalva aneurysm into the right ventricle.A successful surgical correction of the ruptured aneurysm was performed with patch repair.