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Published:
Sep 16, 2020Keywords:
Rupture; right Valsalva sinus; Valsalva sinus aneurysm; infective endocarditis
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Ruptured right Valsalva sinus into the right atrium due to infective endocarditis: a case report
Ayoub Abetti
Department of Cardiovascular Surgery, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, Montpellier, France; Department of Cardiovascular Surgery, Mohammed VI University Medical Center, Mohammed the First University Oujda, Oujda, Morocco
Thomas Gandet
Department of Cardiovascular Surgery, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, Montpellier, France
Abdul Aziz Al Amri
Department of Cardiovascular Surgery, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, Montpellier, France
Marouane Ouazzani Ibrahimi
Department of Cardiovascular Surgery, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, Montpellier, France
Philippe Rouviere
Department of Cardiovascular Surgery, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, Montpellier, France
Alexandra Meilhac
Department of Cardiovascular Surgery, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, Montpellier, France; Department of Cardiovascular Surgery, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, Montpellier, France
Audrey Agullo
Department of Cardiovascular Surgery, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, Montpellier, France; Department of Cardiovascular Surgery, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, Montpellier, France
Roland Demaria
Department of Cardiovascular Surgery, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, Montpellier, France
Jean Marc Frapier
Department of Cardiovascular Surgery, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, Montpellier, France
Bernard Albat
Department of Cardiovascular Surgery, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, Montpellier, France
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.