Simultaneous endocarditis involvement of native tricuspid and aortic valves

We experienced a case of ruptured aneurysm of the sinus of Valsalva, and this resulted in simultaneous aortic and tricuspid valve endocarditis through a shunt. The echocardiography showed a ruptured sinus of Valsalva aneurysm to the right atrium with a shunt. The aortic non-coronary cusp was fibro-thickened with vegetation. Vegetations of the septal leaflet and the anterior leaflet of the tricuspid valve were also found. The blood culture grew Enterococcus garllinarum. We replaced both tricuspid and aortic valve with successful surgical result

Left ventricular pseudoaneurysm: echocardiographic and intraoperative images.

A44-year-old hypertensive woman with fever for 1 week and a history of apical myocardial infarction (1 month before) was transferred to our institution with chest pain and dyspnea