Case Presentation: We describe a 59-year-old male treated for a ruptured sinus of Valsalva aneurysm (SVA) causing multiorgan failure. The patient presented to the emergency department (ED) with acute chest pain, dyspnea, palpitations, nausea, weakness, and diaphoresis after lifting heavy boxes a day prior. The ED evaluation revealed sinus tachycardia, tachypnea, elevated troponin, acute kidney [...]