Abstract

The incidence of infective endocarditis in children is 1.3 cases per 1,000 children who had been admitted. Recognizing infective endocarditis is very important because regardless of prolonged antibiotic treatment, it can entail serious complications, resulting in high morbidity and mortality. One of the important complications is the rupture of Valsalva sinus. We report a case of delayed rupture of the sinus of Valsalva in a 15-year-old boy with subarterial ventricular septal defect complicated with infective endocarditis. Physician must consider the possibility of delayed rupture of the sinus of Valsalva after infective endocarditis although initial evaluations revealed no evidence of periannular extension of infection and of perforation or rupture.

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