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Ruptured sinus of Valsalva aneurysm from the left coronary sinus communicating through the mitral-aortic intervalvular fibrosa is rare. We report a 35-year-old patient who presented with only hemoptysis without any other cardiac complaint. The patient with this unusual diagnosis and presentation was managed successfully. © 2020 Wiley Periodicals, Inc.This investigation aims to show the relationship between participation and psychological empowerment and between participation and interaction under an institutional political participation