Native Valve Infective Endocarditis Associated with Ruptured Right Sinus of Valsalva: A Case Report

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Marcos García Aranda
Estanislao Antonio Calixto
Josué Isaac Olarte García
Karla Ruth Galindo Meza
Tania Dennise Gómez Mayorquín
Alfredo Bautista de la Cruz
Ana Gabriela Perez Cruz
Yunelly Paola Sarmiento Sosa
Rolando Castellanos Villalobos
Moisés Rodríguez Ibarra
Héctor García Aranda
Susana Patricia Díaz Gutiérrez
Jessica Ariatna Carreto Navarrete
Nestor Alonso Cerino Herrera
Julia Inés Obregón Hernández

Abstract

Endocarditis is defined as an infection of the cardiac endothelium. The incidence occurs from 2 to 10 cases per 100,000 people/year. Cardiovascular complications, including cardiac arrest, cardiogenic shock, myocardial infarction, acute heart failure, and heart block. The case of a 51-year-old male patient with fever, asthenia, adynamia, and chills is presented, evolving to shock data to determine the origin, requiring management with vasopressor, a diagnostic protocol with transthoracic echocardiogram is performed where calcified aortic valve and mass attached to the valve ring and image suggestive of abscess at the level of the sinuses of Valsalva are observed. Transesophageal echocardiogram, in addition to the vegetation previously described and the abscess in the mitro-aortic continuity, tricuspid valve lesion with rupture of the sinus of Valsalva. Consultation was requested for cardiothoracic surgery with aortic valve replacement due to a N23 mechanical valve, with closure of the right sinus of Valsalva ruptured to the right ventricle infective endocarditis of the aortic and tricuspid valve with clinical improvement if any eventualities occurred. Rupture of the sinus of Valsalva with fistulization towards lower-pressure cavities (generally the right atrium and ventricle) is probably the most frequent form of presentation. Accurate diagnosis of complicated infective endocarditis means the difference between a good evolution and a poor prognosis.

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How to Cite
García Aranda, M. ., Antonio Calixto, E., Olarte García, J. I., Galindo Meza, K. R. ., Gómez Mayorquín, T. D., Bautista de la Cruz, A. ., Perez Cruz, A. G. ., Sarmiento Sosa, Y. P. ., Castellanos Villalobos, R. ., Rodríguez Ibarra, M. ., García Aranda, H. ., Díaz Gutiérrez, S. P. ., Carreto Navarrete, J. A. ., Cerino Herrera, N. A. ., & Obregón Hernández, J. I. . (2023). Native Valve Infective Endocarditis Associated with Ruptured Right Sinus of Valsalva: A Case Report. International Journal of Medical Science and Clinical Research Studies, 3(8), 1539–1541. https://doi.org/10.47191/ijmscrs/v3-i8-13
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