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

Ayoub Abetti (1, 2) , Thomas Gandet (1, 3) , Abdul Aziz Al Amri (1) , Marouane Ouazzani Ibrahimi (1) , Philippe Rouviere (1) , Alexandra Meilhac (1) , Audrey Agullo (1) , Roland Demaria (1) , Jean Marc Frapier (4, 1) , Bernard Albat (1)

1 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
2 Department of Cardiovascular Surgery, Mohammed VI university medical center, Mohammed the first university Oujda, Morocco
3 BIOTIC - Biomécanique des Interactions et de l'Organisation des Tissus et des Cellules
4 PhyMedExp - Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046]

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.

Domaines: Sciences du Vivant [q-bio]

Ayoub Abetti, Thomas Gandet, Abdul Aziz Al Amri, Marouane Ouazzani Ibrahimi, Philippe Rouviere, et al.. Ruptured right valsalva sinus into the right atrium due to infective endocarditis: a case report. The Pan African Medical Journal, 2020, 37, ⟨10.11604/pamj.2020.37.65.21491⟩. ⟨hal-02963367⟩