Dual rupture of non-coronary sinus of valsalva into the right heart chambers

Mahmoud Houmsse

doi:10.4103/1947-489X.211066

Ibnosina Journal of Medicine and Biomedical Sciences, Table of Contents

CC BY-NC-ND 4.0 · Ibnosina Journal of Medicine and Biomedical Sciences 2009; 01(03): 97-100
DOI: 10.4103/1947-489X.211066

Case Report

Dual rupture of non-coronary sinus of valsalva into the right heart chambers

Mahmoud Houmsse

Department of Internal Medicine, Division of Cardiovascular Medicine, The Richard M. Ross Heart Hospital, The Ohio State University Medical Center, Columbus, Ohio, USA

› Author Affiliations

Abstract

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Rupture of the non-coronary sinus of Valsalva is a well recognized complication of aortic valve endocarditis. It may result in a hemodynamically significant left to right shunt and biventricular heart failure. We report here the case of a 27-year-old who presented with fever, worsening respiratory distress, chest pain and hemoptysis. The transthoracic echocardiography (TTE) revealed aortic valve endocarditis with severe aortic valve regurgitation and dual rupture of the non-coronary sinus of Valsalva into the right heart chambers.

Key-words:

aortic aneurysm - rupture - Sinus of Valsalva - murmur - vegetation

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