Journal of the American Society of Echocardiography
Original articleInfective endocarditis resulting in rupture of sinus of valsalva with a rupture site communicating with both the right atrium and right ventricle
Section snippets
Case report
A 59-year-old woman was referred to the surgical department of our hospital because of rectal bleeding. Initial hospital course included history and physical examination. Rectoscopy and colonoscopy revealed only minimal proctitis. Five days later, however, recurrent severe rectal bleeding occurred causing hemorrhagic shock with significant anemia. Repeated urgent rectoscopy revealed an exulceration with arterial bleeding on the anterior wall of the rectum 5 to 6 cm from the anus. The hemorrhage
Discussion
Sinus of Valsalva rupture is usually caused by rupture of an aneurysm of sinus of Valsalva, which may be congenital or aquired. In the reported case, however, an aneurysm of sinus of Valsalva could not be identified. The rupture of sinus of Valsalva in this case was caused by infective endocarditis, ie, the large RA vegetation adjacent to the sinus of Valsalva eroded its wall and resulted in a fistula connecting the noncoronary sinus of Valsalva with the RA and the proximal RV inflow tract. Our
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Cited by (13)
Ruptured sinus of Valsalva aneurysm due to Infective Endocarditis managed by device closure - a case report
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Subaortic membrane with rupture of sinus of Valsalva presented with infective endocarditis and its thromboembolic complications
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