Simultaneous Aortic and Tricuspid Valve Endocarditis due to Complication of Sinus of Valsalva Rupture

Abstract

We experienced a case of ruptured aneurysm of the sinus of Valsalva, and this resulted in simultaneous aortic and tricuspid valve endocarditis through a shunt. The echocardiography showed a ruptured sinus of Valsalva aneurysm to the right atrium with a shunt. The aortic non-coronary cusp was fibro-thickened with vegetation. Vegetations of the septal leaflet and the anterior leaflet of the tricuspid valve were also found. The blood culture grew Enterococcus garllinarum. We replaced both tricuspid and aortic valve with successful surgical result.

Vancomycin-Resistant Streptococcus thoraltensis: A Case Report of Bacterial Endocarditis and Review of Literature on Infections Caused by This Pathogen

“…In addition to the characteristic clinical signs (fever, new murmur), other signs should raise suspicion of bacterial endocarditis (general symptoms such as unexplained malaise, weakness, arthralgia, and weight loss; embolic events of unknown origin in the brain, spleen, or kidneys; atrioventricular conduction disorders; palming; skin lesions such as Osler or Janeway nodules; and ophthalmologic manifestations (Roth spots)) [ 9 , 10 , 11 ].…”