Ruptured Sinus of Valsalva Aneurysm Complicating Infective Endocarditis: A Case Report

Abstract

Sinus of Valsalva aneurysm (SVA) is an uncommon cardiac anomaly, usually congenital but may be acquired & rarely ruptures. A 24-year-old male presented with a history of prolonged fever, loss of appetite and significant weight loss along with exertional dyspnoea, palpitation and mild chest pain together with clubbed fingers and toes, mild splenomegaly and a continuous machinery murmur over the left sternal edge with associated thrill. Transthoracic echocardiogram revealed ruptured sinus of Valsalva aneurysm with shunt from aorta to right atrium (RA) and vegetation. He was diagnosed as infective endocarditis with rupture of sinus of Valsalva aneurysm and treated with antibiotics and referred to the cardiothoracic surgeon for repair of ruptured SVA.Key words: Sinus of Valsalva aneurysm, infective endocarditis. (Birdem Med J 2015; 5(Supplement 1): 52-55)

Uncommon Sinus Valsalva Aneurysm Dissecting into the Interventricular Septum Linked to Infective Endocarditis: Insights from Echocardiography and CT Scans

“…9 Additionally, transesophageal echocardiography has been instrumental in the surgical management of pseudoaneurysms of the mitralaortic intervalvular fibrosa with aneurysms of the right sinus of Valsalva and the left main coronary artery. 10 Comparing this case to other reported cases, it is evident that the involvement of the interventricular septum due to the dissecting right sinus Valsalva aneurysm is a rare and unique occurrence. While most reported cases focus on the rupture of the sinus of Valsalva aneurysm into the right atrium or ventricle, the involvement of the interventricular septum presents distinct challenges and considerations for surgical management and treatment.…”