title: Diagnostic paradox: Ruptured aneurysm of sinus of Valsalva simulating tricuspid valve endocarditis.
abstract: Rupture of aneurysm of sinus of Valsalva into the right atrium mimicking tricuspid valve endocarditis is a rare presentation. We review a case of spontaneous rupture of aneurysm of sinus of Valsalva into the right atrium presenting as a murmur. Transthoracic echocardiogram showed a mobile mass that appeared to be attached to the tricuspid valve leaflet with moderate tricuspid regurgitation suggestive of tricuspid valve endocarditis. The diagnosis was confirmed as spontaneous rupture of noncoronary sinus in to the right atrium by transesophageal echocardiogram. Patient recovered completely after surgical repair.
authors.affiliation: Department of Pediatrics, Texas Tech University Health Science Center, Amarillo, TX, USA.
authors.forename: Mehar
authors.initials: M
authors.lastname: Hoda
authors.affiliation: Department of Pediatrics, Texas Tech University Health Science Center, Amarillo, TX, USA.
authors.forename: Arushi
authors.initials: A
authors.lastname: Verma
authors.affiliation: Department of Pediatrics, Texas Tech University Health Science Center, Amarillo, TX, USA.
authors.forename: Sridevi
authors.initials: S
authors.lastname: Alapati
authors.affiliation: Department of Pediatrics, Texas Tech University Health Science Center, Amarillo, TX, USA.
authors.forename: Srilatha
authors.initials: S
authors.lastname: Alapati
authors.affiliation: Department of Pediatrics, Texas Tech University Health Science Center, Amarillo, TX, USA.|Department of Pediatrics, Driscoll Children's Hospital, Corpus Christi, TX, USA.
authors.forename: Tharakanatha R
authors.initials: TR
authors.lastname: Yarrabolu
mesh_terms: D000293:Adolescent; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging* / Q000601:surgery; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery; D001019:Aortic Rupture / Q000000981:diagnostic imaging* / Q000601:surgery; D003937:Diagnosis, Differential; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D004696:Endocarditis; D006801:Humans; D008297:Male; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging* / Q000601:surgery
keywords: aneurysm; endocarditis; rupture; sinus of Valsalva; transesophageal echocardiogram