Volume 2006, Issue 2
  • ISSN: 0253-8253
  • EISSN: 2227-0426


Aortic Valve Endocarditis Leading to Rupture of Sinus of Valsalva in the right-sided heart chambers is an unusual complication. Here we have presented a case where infective Endocarditis of Aortic Valve lead to Rupture of Sinus of Valsalva into the right atrium. Prolapsing vegetation also lead to a satellite lesion on tricuspid valve probably by direct implantation. Echocardiography with color flow mapping helped us to diagnose this case early and accurately so that timely surgery could save patient's life.


Article metrics loading...

Loading full text...

Full text loading...


  1. Van Son J, Danielson GK, Schajf HV, Orszulak TA, Edwards WD, Seward JB. Long-term outcome of surgical repair of ruptured sinus of Valsalva aneurysm. Circulation. 1994; 90::11201129.
    [Google Scholar]
  2. Seamus C, Sullivan ID. Ruptured Sinus of Valsalva with Aorta-to-Right Atrial Fistula. Circulation. E.D.; 98::25032504.
    [Google Scholar]
  3. Asin Cardiel E, Moya J, de Pablocetal L. A sinus of Valsalva aneurysm ruptured into right atrium secondary to aortic endocarditis; the usefulness of transthoracic and transeosophageal echocardiography. Rev. Esp. Cardiol. 1991; 44:8:560562.
    [Google Scholar]
  4. Russani R, Sinagra G, Polletti A, Pinamonti B, Silvestri F. Cardiac tamponade: An unusual, fatal complication of infective endocarditis. G. Ital. Cardiol. 1999; 29:12:15121516.
    [Google Scholar]
  5. Farouque H, Worthley G, Yeend A. Aortico-atrial fistula secondary to bacterial endocarditis. Heart. 2001 Nov; 86:5:498.
    [Google Scholar]
  6. Yoshikai M, Ishitoya H, Kato H, Truchiya K, Ida Y, Seto T. A case report of ruptured aneurysm of sinus of Valsalva resulted in tricuspid valve endocarditis. Kyobu Geka. 1992; 45:13:11941196.
    [Google Scholar]
  7. Martin AG, Ruiz JO, Gonzalez AE, Garcia JM, Fernando - Benito F, Sobrino Daza JS. Multiplane transesophageal echocardiography in the preoperative evaluation of the sinus of Valsalva fistula to right chambers. Rev Esp Cardiol. 2002 Jan; 55:1:2936.
    [Google Scholar]
  8. Mc Mahon CJ, Ayers N, Pignatelli RH, Franklin W, Vargo TA, Bricker JT, Al Said HG. Echocardiography presentations of endocarditis and risk factors for rupture of a sinus of Valsalva in childhood. Cardiol Young. 2003A; 13:2:168172.
    [Google Scholar]
  • Article Type: Case Report
Keyword(s): Aortic ValveKeyword: Infective endocarditis and Sinus of Valsalva
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error