title: Contained rupture of the sinus of valsalva associated with infective endocarditis and untreated congenital ventricular septal defect.
abstract: Isolated sinus of Valsalva (SV) aneurysm is a rare condition that may arise in patients with congenital ventricular septal defects (VSD). Small VSDs are often left untreated because of high rate of spontaneous closure. However, complications such as aortic regurgitation and infective endocarditis may occur as complications of small VSDs. We present the case of a 19-year-old man with a history of VSD, who presented with Staphylococcus aureus endocarditis and a contained rupture of the SV into the right ventricle, which was successfully treated. In the light of this case, we believe that even small VSDs should be assessed regularly and treated before such drastic complications occur.
authors: Cardiothoracic Department, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK.
authors: Marco
authors: M
authors: Moscarelli
authors: Saina
authors: S
authors: Attaran
authors: Claire
authors: C
authors: Thomas
authors: Jon R
authors: JR
authors: Anderson
mesh_terms: D001014:Aortic Aneurysm / Q000382:microbiology / Q000601:surgery*; D001019:Aortic Rupture / Q000382:microbiology / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000382:microbiology / Q000601:surgery; D004697:Endocarditis, Bacterial / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000150:complications*; D006801:Humans; D008297:Male; D012850:Sinus of Valsalva; D013203:Staphylococcal Infections / Q000601:surgery*; D013211:Staphylococcus aureus; D055815:Young Adult
keywords: adult congenital heart disease; aneurysm (aortic, myocardial, other); aortic operation; ventricular septal defect