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
