Contained Rupture of the Sinus of Valsalva Associated With Infective Endocarditis and Untreated Congenital Ventricular Septal Defect. (July 2013)

• Record Type: Journal Article
• Authors: Moscarelli, Marco; Attaran, Saina; Thomas, Claire; Anderson, Jon R.
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 4:Number 3(2013)
• Page Start: 312
• Page End: 314
• Publication Date: 2013-07
• Subjects: adult congenital heart disease -- aneurysm (aortic, myocardial, other) -- aortic operation -- ventricular septal defect; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/2150135112474025
• Languages: English
• ISSNs: 2150-1351

Abstract

Isolated sinus of Valsalva (SV) aneurysm is a rare condition that may arise in patients with congenital ventricular septal defects (VSD). Small VSDs are often left untreated because of high rate of spontaneous closure. However, complications such as aortic regurgitation and infective endocarditis may occur as complications of small VSDs. We present the case of a 19-year-old man with a history of VSD, who presented with Staphylococcus aureus endocarditis and a contained rupture of the SV into the right ventricle, which was successfully treated. In the light of this case, we believe that even small VSDs should be assessed regularly and treated before such drastic complications occur.