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Undoubtedly we report right here a fatal case of SVA in a 58-year-old homeless man discovered dead regarding the road. The autopsy, done to determine the reason behind death, releaved a massive aneurysm (in excess of 4 cm) involving the correct coronary sinus associated with the aorta. In cases like this, the aneurysm is an accidental choosing in place we discovered no tromboses in the aneurysm together with ostium wasn't obstructed, and so the reason for death might be attribuited to deadly arrhy