Ruptured Sinus of Valsalva (RSOV) is a rarely seen disease condition. RSOV can have varied presentations from being asymptomatic with just a cardiac murmur to profound hypotension. There has been simultaneous occurrence of RSOV with Infective Endocarditis (IE) in literature. http://www.bekindtopets.com/quick-find-ICON-39290-Adjustable-Track-Bar-Kit-1999-2004-F250-F350-flash-buy/