[Ruptured Sinus of Valsalva due to Infective Endocarditis Associated with Ventricular Septal Defect].

Rupture of sinus of Valsalva is a rare entity that occurs as a result of penetrating cardiac trauma or as a complication of infective endocarditis, aneurysm of the sinus of Valsalva, or aortic dissection. A 41-year-old man was admitted to our hospital with continual fever and general fatigue. Streptococcus mutans was detected from his blood cultures. Echocardiography showed perimembranous type ventricular septal defect and right Valsalva- right ventricle fistula. We performed surgery after 4 weeks'administration of antibiotics. After radical debridement, we closed ventricular septal defect and Valsalva-right ventricular fistula with double bovine pericardial patches. Postoperative echocardiography showed no aortic regurgitation or shunt flow. There has been no infection relapse for 2 years since surgery.