title: Infective endocarditis resulting in rupture of sinus of Valsalva with a rupture site communicating with both the right atrium and right ventricle.
abstract: This report describes a patient with a rupture of the noncoronary sinus of Valsalva caused by erosion of its wall by a large right atrial vegetation not attached to the tricuspid valve without aortic valve involvement. The rupture site was located right posterior to the tricuspid septal leaflet and communicated both with the right atrium and the right ventricular inflow tract, resulting in a significant left-to-right shunt leading to severe right heart failure and shock. The diagnosis was made by transthoracic and transesophageal echocardiography. To our knowledge no similar case has been reported in the literature.
authors.affiliation: Third Department of Medicine, Semelweis University, School of Medicine, Budapest, Hungary. vereckei@kut.sote.hu
authors.forename: András
authors.initials: A
authors.lastname: Vereckei
authors.forename: László
authors.initials: L
authors.lastname: Vándor
authors.forename: Judit
authors.initials: J
authors.lastname: Halász
authors.forename: István
authors.initials: I
authors.lastname: Karádi
authors.forename: Mária
authors.initials: M
authors.lastname: Lengyel
mesh_terms: D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000382:microbiology; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000150:complications*; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000473:pathology; D006352:Heart Ventricles / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000473:pathology