Delayed Rupture of Sinus of Valsalva after Infective Endocarditis: A Case Report

Si Young Bae; Young Seok Choi; Eun Young Park; Woo Yeon Choi; Young Kuk Cho; Jae Sook Ma

doi:10.4068/cmj.2008.44.2.113

Journal List > Chonnam Med J > v.44(2) > 1017880

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Bae, Choi, Park, Choi, Cho, and Ma: Delayed Rupture of Sinus of Valsalva after Infective Endocarditis: A Case Report

Case Report

Chonnam Medical Journal

Chonnam Medical Journal 2008; 44(2): 113-116.

Published online: 31 August 2008

DOI: https://doi.org/10.4068/cmj.2008.44.2.113

Delayed Rupture of Sinus of Valsalva after Infective Endocarditis: A Case Report

Si Young Bae, Young Seok Choi, Eun Young Park, Woo Yeon Choi, Young Kuk Cho, Jae Sook Ma

Department of Pediatrics, Chonnam National University Medical School and Research Institute of Medical Sciences, Gwangju, Korea.

Corresponding author (cardiol@jnu.ac.kr)

Accepted 15 July 2008

Abstract

The incidence of infective endocarditis in children is 1.3 cases per 1,000 children who had been admitted. Recognizing infective endocarditis is very important because regardless of prolonged antibiotic treatment, it can entail serious complications, resulting in high morbidity and mortality. One of the important complications is the rupture of Valsalva sinus. We report a case of delayed rupture of the sinus of Valsalva in a 15-year-old boy with subarterial ventricular septal defect complicated with infective endocarditis. Physician must consider the possibility of delayed rupture of the sinus of Valsalva after infective endocarditis although initial evaluations revealed no evidence of periannular extension of infection and of perforation or rupture.

Keywords: Infective endocarditis, Ruptured sinus of Valsalva, Echocardio

Figures and Tables

Fig. 1

On presentation, trans-thoracic echocardiography showed a subarterial ventricular septal defect of 3 mm diameter from parasternal long axis view.

Fig. 2

On the thirteenth day after operation, follow-up echocardiography showed ruptured sinus of Valsalva with a shunt from the aorta to the right ventricular outflow tract.

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