Aortic dissection and rupture occur in 20–40% of patients with Marfan's syndrome. This occurs predominantly in the third and fourth decade of life, contributing to the increased morbidity and mortality of this specific group of patients. This is the first known documented case report of pre-pubertal left coronary sinus rupture with left coronary artery aneurysms with fistulous communication to both superior vena cava and right superior pulmonary vein presenting with a continuous murmur.
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