[Infective Endocarditis with Pseudoaneurysms of the Sinus of Valsalva Ruptured into the Right Ventricle and the Left Atrium;Report of a Case].

A 65-year-old woman was admitted to our hospital with fever and left hemiplegia. She was diagnosed with infective endocarditis with multiple brain abscess. At first, heart failure was not present, and she was given medical treatment with antibiotics. But on day 12 after admission, she progressively developed heart failure. Transthoracic echocardiogram demonstrated pseudoaneurysm of the sinus of Valsalva, ruptured into the left atrium. At operation, another fistula to the right ventricular outflow tract was revealed. They were repaired with autologous pericardial patches, and the aortic valve was replaced with a bioprosthetic valve. The postoperative course was uneventful.