RUPTURE OF A SINUS OF VALSALVA ANEURYSM DUE TO ASPERGILLUS-ENDOCARDITIS

We report a case of rupture of an acquired sinus of Valsalva aneurysm secondary to Aspergillus endocarditis in a patient with chronic lympho cytic leukaemia and idiopathic thrombocytopaenia purpura. Despite adeq uate repair and haemodynamic correction, with an apparent excellent in itial result, the patient died of overwhelming sepsis at twelve days p ostoperatively. This case demonstrates an unusual cause of rupture of a sinus of Valsalva aneurysm and the morbidity associated with immunol ogical dysfunction in the post-operative period.