{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T09:51:17Z","timestamp":1781344277904,"version":"3.54.1"},"reference-count":8,"publisher":"Texas Heart Institute Journal","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:p>\n          <jats:italic>Lactobacillus acidophilus<\/jats:italic> rarely causes bacterial endocarditis, because it usually resides in the mucosa of the vagina, gastrointestinal tract, and oropharynx. Moreover, sinus of Valsalva aneurysms are rare cardiac anomalies, either acquired or congenital. We present the case of a middle-aged man whose bacterial endocarditis, caused by <jats:italic>Lactobacillus acidophilus<\/jats:italic>, led to an aneurysmal rupture of the sinus of Valsalva into the right ventricular outflow tract. The patient underwent successful surgical repair, despite numerous complications and sequelae.<\/jats:p>","DOI":"10.14503\/thij-15-5121","type":"journal-article","created":{"date-parts":[[2016,4,5]],"date-time":"2016-04-05T22:00:25Z","timestamp":1459893625000},"page":"161-164","source":"Crossref","is-referenced-by-count":25,"title":["Bacterial Endocarditis Caused by Lactobacillus acidophilus Leading to Rupture of Sinus of Valsalva Aneurysm"],"prefix":"10.14503","volume":"43","author":[{"given":"Carlos Omar","family":"Encarnacion","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Austin Mitchell","family":"Loranger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.G.","family":"Bharatkumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. Hossein","family":"Almassi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5628","reference":[{"issue":"Pt 5","key":"i0730-2347-43-2-161-b1","series-title":"J Med Microbiol","first-page":"451","article-title":"Case of aortic endocarditis caused by Lactobacillus casei","volume":"53","year":"2004","unstructured":"Ze-Ze\n              L, \n            \n              Tenreiro\n              R, \n            \n              Duarte\n              A, \n            \n              Salgado\n              MJ, \n            \n              Melo-Cristino\n              J, \n            \n              Lito\n              L, \n          \n          et al. Case of aortic endocarditis caused by Lactobacillus casei. J Med Microbiol2004;53(Pt 5):451\u20133."},{"issue":"1","key":"i0730-2347-43-2-161-b2","series-title":"J Infection","first-page":"e5","article-title":"Lactobacillus endocarditis: case report and review of cases reported since 1992","volume":"53","year":"2006","unstructured":"Salvana\n              EMT, \n            \n              Frank\n              M.\n            \n          \n          Lactobacillus endocarditis: case report and review of cases reported since 1992. J Infection2006; 53(1):e5\u2013e10. Available from: http:\/\/www.journalofinfection.com\/article\/S0163-4453%2805%2900303-8\/abstract."},{"issue":"Pt 5","key":"i0730-2347-43-2-161-b3","series-title":"J Med Microbiol","first-page":"607","article-title":"Endocarditis caused by Lactobacillus jensenii in an immunocompetent patient","volume":"59","year":"2010","unstructured":"Fradiani\n              PA, \n            \n              Petrucca\n              A, \n            \n              Ascenzioni\n              F, \n            \n              Di Nucci\n              G, \n            \n              Teggi\n              A, \n            \n              Bilancini\n              S, \n            \n              Cipriani\n              P.\n            \n          \n          Endocarditis caused by Lactobacillus jensenii in an immunocompetent patient. J Med Microbiol2010;59(Pt 5):607\u20139."},{"issue":"3","key":"i0730-2347-43-2-161-b4","series-title":"Infect Dis Clin Prac","first-page":"134","article-title":"Lactobacillus endocarditis: case report and literature review","volume":"14","year":"2006","unstructured":"See\n              JRH, \n            \n              Czachor\n              JS, \n            \n              Brown\n              GR.\n            \n          \n          Lactobacillus endocarditis: case report and literature review. Infect Dis Clin Prac2006;14(3):134\u20136."},{"issue":"12","key":"i0730-2347-43-2-161-b5","series-title":"Clin Cardiol","first-page":"831","article-title":"Sinus of Valsalva aneurysms","volume":"13","year":"1990","unstructured":"Goldberg\n              N, \n            \n              Krasnow\n              N.\n            \n          \n          Sinus of Valsalva aneurysms. Clin Cardiol1990;13(12):831\u20136."},{"issue":"2","key":"i0730-2347-43-2-161-b6","series-title":"Iran Cardiovasc Res J","first-page":"123","article-title":"Ruptured sinus of Valsalva aneurysm initially misdiagnosed as ventricular septal defect by echocardiography","volume":"3","year":"2009","unstructured":"Moarref\n              AR, \n            \n              Afifi\n              S, \n            \n              Jannati\n              M, \n            \n              Rezaian\n              GR.\n            \n          \n          Ruptured sinus of Valsalva aneurysm initially misdiagnosed as ventricular septal defect by echocardiography. Iran Cardiovasc Res J2009;3(2):123\u20135. Available from: http:\/\/ircrj.com\/?page=article&article_id=9808."},{"issue":"4","key":"i0730-2347-43-2-161-b7","series-title":"Neth Heart J","first-page":"209","article-title":"Rupture of right coronary sinus of Valsalva aneurysm into right ventricle","volume":"18","year":"2010","unstructured":"Post\n              MC, \n            \n              Braam\n              RL, \n            \n              Groenemeijer\n              BE, \n            \n              Nicastia\n              D, \n            \n              Rensing\n              BJ, \n            \n              Schepens\n              MA.\n            \n          \n          Rupture of right coronary sinus of Valsalva aneurysm into right ventricle. Neth Heart J2010;18(4):209\u201311."},{"key":"i0730-2347-43-2-161-b8","series-title":"Case Rep in Med","article-title":"A rare cause of dyspnea: sudden rupture of aortic Valsalva sinus aneurysm","year":"2013","unstructured":"Arikan\n              E, \n            \n              Karagoz\n              A, \n            \n              Bayata\n              S, \n            \n              Yilik\n              L, \n            \n              Unluer\n              EE.\n            \n          \n          A rare cause of dyspnea: sudden rupture of aortic Valsalva sinus aneurysm. Case Rep in Med2013:909302. 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