Key result
Three-dimensional echocardiography accurately delineated the site of rupture of a sinus of Valsalva aneurysm into the right ventricle, correcting an erroneous 2D echocardiogram localization.
Why the study?
Does 3D echocardiography improve the delineation of ruptured sinus of Valsalva anatomy compared to 2D echocardiography in a patient with infective endocarditis?
Case Report (n=1)
Does 3D echocardiography improve the delineation of ruptured sinus of Valsalva anatomy compared to 2D echocardiography in a patient with infective endocarditis?
3D echocardiography provides superior anatomical delineation of ruptured sinus of Valsalva compared to 2D echocardiography, facilitating successful transcatheter closure.
May enhance localization in sinus of Valsalva rupture; hypothesis-generating and requires prospective validation.
The rupture of sinus of Valsalva is a rare complication of infective endocarditis. Three-dimensional (3D) echocardiography represents an important adjunctive tool to demonstrate the ruptured sinus of Valsalva with better delineation of its characteristics. We present an adult patient with rupture of right sinus of Valsalva aneurysm due to infective endocarditis of the aortic valve, in whom the two-dimensional (2D) transthoracic echocardiogram erroneously localized the site of rupture into the right atrium. Whereas, 3D transthoracic echocardiogram accurately delineated the site of rupture into the right ventricle and it was confirmed on subsequent cardiac catheterization and angiogram. In addition, 3D echocardiography clearly showed the size and shape of the defect, which helped in successful transcatheter closure of the defect with amplatzer duct occluder device.
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Chandra et al. (2012) conducted a case report in Rupture of right sinus of Valsalva aneurysm due to infective endocarditis (n=1). Three-dimensional (3D) echocardiography vs. Two-dimensional (2D) transthoracic echocardiogram was evaluated on Accurate delineation of the site of rupture. Three-dimensional echocardiography accurately delineated the site of rupture of a sinus of Valsalva aneurysm into the right ventricle, correcting an erroneous 2D echocardiogram localization.
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