Aortic valve endocarditis leading to rupture of sinus of valsalva: echocardiographic diagnosis

Aortic Valve Endocarditis Leading to Rupture of Sinus of Valsalva in the right-sided heart chambers is an unusual complication. Here we have presented a case where infective Endocarditis of Aortic Valve lead to Rupture of Sinus of Valsalva into the right atrium. Prolapsing vegetation also lead to a satellite lesion on tricuspid valve probably by direct implantation. Echocardiography with color flow mapping helped us to diagnose this case early and accurately so that timely surgery could save patient's life