A Case of Atrio-Ventricular Communication Syndrome Complicated with Ruptured Aneurysm of Valsalva Sinus and Subacute Bacterial Endocarditis

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A case of atrio-ventricular communication syndrome has been reported. The case was 24 year-old house wife, mother of a child. Necropsy has indicated the anomaly similar to the type I of GERBODE'S classification. Clinically, she had presented pansystolic murmur with intense systolic thrill in the lower sternal region. She died of congestive heart failure. Postmortem examination had also indicated the complication of subacute bacterial endocarditis with ruptured aneurysm of Valsalva sinus resulting in communication between right atria and root of aorta. Literature review of this syndrome has been made, in which similarity of clinical picture to ASD and VSD in regard to data of right heart catheterization and heart sound finding, respectively and also rather higher incidence of complication of SBE are emphasized.