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Diagnostic paradox: Ruptured aneurysm of sinus of Valsalva simulating tricuspid valve endocarditis
Author(s) -
Hoda Mehar,
Verma Arushi,
Alapati Sridevi,
Alapati Srilatha,
Yarrabolu Tharakanatha R.
Publication year - 2017
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13479
Subject(s) - medicine , tricuspid valve , endocarditis , transesophageal echocardiogram , regurgitation (circulation) , right atrium , sinus (botany) , aneurysm , cardiology , transthoracic echocardiogram , infective endocarditis , radiology , surgery , botany , biology , genus
Rupture of aneurysm of sinus of Valsalva into the right atrium mimicking tricuspid valve endocarditis is a rare presentation. We review a case of spontaneous rupture of aneurysm of sinus of Valsalva into the right atrium presenting as a murmur. Transthoracic echocardiogram showed a mobile mass that appeared to be attached to the tricuspid valve leaflet with moderate tricuspid regurgitation suggestive of tricuspid valve endocarditis. The diagnosis was confirmed as spontaneous rupture of noncoronary sinus in to the right atrium by transesophageal echocardiogram. Patient recovered completely after surgical repair.