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Updated: Mar 20, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
[Ruptured Sinus of Valsalva due to Infective Endocarditis Associated with Ventricular Septal Defect]
Tsuyoshi Fujimiya1, Yoichi Sato, Mitsuaki Sadahiro
1Department of Cardiovascular Surgery, Fukushima Medical University, Fukushima, Japan.
Abstract:
Rupture of sinus of Valsalva is a rare entity that occurs as a result of penetrating cardiac trauma or as a complication of infective endocarditis, aneurysm of the sinus of Valsalva, or aortic dissection. A 41-year-old man was admitted to our hospital with continual fever and general fatigue. Streptococcus mutans was detected from his blood cultures. Echocardiography showed perimembranous type ventricular septal defect and right Valsalva- right ventricle fistula. We performed surgery after 4 weeks'administration of antibiotics. After radical debridement, we closed ventricular septal defect and Valsalva-right ventricular fistula with double bovine pericardial patches. Postoperative echocardiography showed no aortic regurgitation or shunt flow. There has been no infection relapse for 2 years since surgery.
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