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. https://www.diegojavierfares.com/limited-save-Ashwagandha-Extract-60Veggie-Caps-top-grab/