Echocardiographic Identification of Infective Endocarditis Within a Congenital Left Sinus of Valsalva—Right Atrial Communication

A rare case is described of infective endocarditis within a congenital left sinus of Valsalva aneurysm to right atrial communication diagnosed by a combination of precordial and transesophageal echocardiography. The respective roles of precordial and transesophageal echocardiography in this case are discussed with regard to both diagnosis and surgical decision making.