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

Area of Science:

• Cardiology
• Cardiac Surgery
• Infective Endocarditis

Background:

• Valsalva sinus aneurysms can lead to severe complications, including rupture.
• Rupture of the Valsalva sinus, particularly due to infective endocarditis, is exceedingly rare and carries a high mortality risk.

Observation:

• A 47-year-old male presented with acute dyspnea, chest pain, and fever following exercise.
• Transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) revealed a ruptured right Valsalva sinus into the right atrium.
• The rupture was attributed to infective endocarditis.

Findings:

• Infective endocarditis was identified as the cause of the Valsalva sinus rupture.
• The patient underwent successful surgical repair using double pericardial patches after initial stabilization.

Implications:

• This case highlights the critical importance of prompt diagnosis and management of Valsalva sinus aneurysms, especially when complicated by infection.
• Successful surgical intervention can be achieved even in complex cases of sinus rupture.
• Early detection and treatment are crucial for improving outcomes in patients with this rare cardiovascular emergency.