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Normal.dotm 0 0 1 66 381 OSU Medical Center 3 1 467 12.0 0 false 18 pt 18 pt 0 0 false false false /* Style Definitions */ table.MsoNormalTable  {mso-style-name:"Table Normal";  mso-tstyle-rowband-size:0;  mso-tstyle-colband-size:0;  mso-style-noshow:yes;  mso-style-parent:"";  mso-padding-alt:0pc .45pc 0pc .45pc;  mso-para-margin:0pc;  mso-para-margin-bottom:.0001pt;  mso-pagination:widow-orphan;  font-size:12.0pt;  font-family:"Times New Roman";  mso-ascii-font-family:Cambria;  mso-ascii-theme-font:minor-latin;  mso-fareast-font-family:Cambria;  mso-fareast-theme-font:minor-latin;  mso-hansi-font-family:Cambria;  mso-hansi-theme-font:minor-latin;  mso-bidi-font-family:"Times New Roman";  mso-bidi-theme-font:minor-bidi;}  We are reporting a case of infective endocarditis complicated with rupture of sinus of valsalva of the non-coronary cusp into right atrium and right ventricle, severe aortic regurgitation as well as moderate tricuspid regurgitation, which was diagnosed after appropriate utilization of the transthoracic echocardiogram in clinically and hemodynamically deteriorating condition in a young patient without appreciating a continuous murmur on the physical exam.

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