Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Sep 16:37:65.
doi: 10.11604/pamj.2020.37.65.21491. eCollection 2020.

Ruptured right Valsalva sinus into the right atrium due to infective endocarditis: a case report

Ayoub Abetti  1   2 , Thomas Gandet  1 , Abdul Aziz Al Amri  1 , Marouane Ouazzani Ibrahimi  1 , Philippe Rouviere  1 , Alexandra Meilhac  1   3 , Audrey Agullo  1   3 , Roland Demaria  1 , Jean Marc Frapier  1 , Bernard Albat  1
Affiliations
Case Reports

Ruptured right Valsalva sinus into the right atrium due to infective endocarditis: a case report

Ayoub Abetti et al. Pan Afr Med J. .

Abstract

Rupture of Valsalva sinus remains a very rare and deadly complication of Valsalva sinus aneurysm with a high mortality rate. We report here the case of a 47-year-old man who presented to the emergency department with acute exercise-induced dyspnea, chest pain, and fever. Transthoracic (TTE) and transesophageal echocardiography (TEE) highlighted a rupture of the right Valsalva sinus in the right atrium due to infective endocarditis. After stabilization of the patient, a successful surgical repair with double pericardial patches was performed.

Keywords: Rupture; Valsalva sinus aneurysm; infective endocarditis; right Valsalva sinus.

PubMed Disclaimer

Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
echographic image showing the passage of blood flow from the right Valsalva sinus to the right atrium
Figure 2
Figure 2
thoracic CT angiography in axial section, showing a passage of contrast material through the right coronary sinus to the right atrioventricular junction
Figure 3
Figure 3
surgical view showing the rupture of the right sinus of Valsalva after complete transverse aortotomy
Figure 4
Figure 4
surgical view showing the final result after pericardial patch repair
See this image and copyright information in PMC

References

    1. Ring WS. Congenital Heart Surgery Nomenclature and Database Project: aortic aneurysm, sinus of Valsalva aneurysm, and aortic dissection. Ann Thorac Surg. 2000;69(4 Suppl):S147–S163. - PubMed
    1. Topi B, John J, Agarwal A, Nerella N, Shetty V, Sadiq A, et al. An uncommon cause of a continuous murmur. Exp Clin Cardiol. 2012;17(3):148–149. - PMC - PubMed
    1. Vural KM, Sener E, Taşdemir O, Bayazit K. Approach to sinus of Valsalva aneurysms: a review of 53 cases. Eur J Cardiothorac Surg. 2001;20(1):71–76. - PubMed
    1. Koh KK, Lee KH, Kim SS, Lee SC, Jin SH, Cho SW. Ruptured aneurysm of the sinus of Valsalva in a patient with Behçet's disease. Int J Cardiol. 1994;47(2):177–179. - PubMed
    1. Knight JL, Jacka M, Charrette EJ. Repair of isolated, symptomatic, sinus of Valsalva aneurysm in a patient with Marfan's syndrome. Can J Cardiol. 1988;4(5):214–216. - PubMed

Publication types