title: Austrian triad with sinus of Valsalva aneurysm and rupture.
abstract: An interesting case of a young patient presenting with Austrian's Triad: pneumococcal pneumonia, pneumococcal meningitis, and pneumococcal endocarditis. On echocardiogram the patient was noted to have a noncoronary sinus of Valsalva aneurysm and vegetations on the aortic cusps resulting in disruption of valvular integrity and severe aortic insufficiency. Color Doppler also revealed rupture of the aneurysm into the right atrium. The patient was taken to surgery where the noncoronary cusp was noted to be completely replaced with vegetative lesions. The aortic valve was replaced with a No. 21 Carpentier-Edwards bioprosthetic valve (Edwards Lifesciences, Irvine, CA), and the noncoronary sinus of Valsalva was repaired with concomitant closure of the fistula using glutaraldehyde autologous pericardium.
authors.affiliation: Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi 39216, USA.
authors.forename: John McLean
authors.initials: JM
authors.lastname: Trotter
authors.forename: Giorgio
authors.initials: G
authors.lastname: Aru
authors.forename: Ervin R
authors.initials: ER
authors.lastname: Fox
mesh_terms: D000328:Adult; D001014:Aortic Aneurysm / Q000150:complications* / Q000151:congenital / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D018618:Echocardiography, Doppler, Color; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008586:Meningitis, Pneumococcal / Q000209:etiology; D011008:Pneumococcal Infections / Q000150:complications*; D011018:Pneumonia, Pneumococcal / Q000209:etiology; D012850:Sinus of Valsalva