Rapid expansion of a saccular aneurysm on the left coronary sinus of Valsalva: a role for early surgical repair?
نویسندگان
چکیده
A thirty nine year old woman presented with ischaemic chest pain caused by a saccular aneurysm of the left coronary sinus of Valsalva. Over the next two weeks there was rapid dilatation of the aneurysm which led to left coronary artery compression and death from a massive myocardial infarction. It is suggested that early repair should be considered in patients with saccular aneurysm at this site, but only in the context of other management priorities.
منابع مشابه
Bicuspid Aortic Valve: An Unusual Cause of Aneurysm of Left Coronary Sinus of Valsalva
Bicuspid aortic valve is traditionally considered an innocuous congenital anomaly. Due to a better and widespread availability of non-invasive imaging techniques, it has come to the fore that 30% of these cases develop complications, viz., valve abnormality (aortic regurgitation and stenosis), and aneurysm of aortic root and ascending aorta. Sinus of Valsalva aneurysm is an uncommon complicatio...
متن کاملپارگی آنوریسم سینوس والسالوای راست به داخل بطن راست در یک خانم 30 ساله با نقص همزمان دیواره بین بطنی
Aneurysms of sinus of Valsalva are rare cardiac abnormalities. They are dilatations of the aortic sinuses and are classified as congenital or acquired. If located in the right coronary sinus they are usually ruptured into right heart chambers and frequently a ventricular septal defect coexists with this condition. This paper reports a 30-year-old woman with ruptured aneurysm of the right sinus ...
متن کاملLeft sinus of valsalva aneurysm ruptured into left ventricle
RATIONALE Ruptured aneurysm originating from the left coronary sinus of Valsalva into the left ventricle (LV) is extremely rare. Imaging features of sinus aneurysm has been commonly reported using echocardiography or angiography. Here, we report multidetector computed tomography (MDCT) findings of left sinus of Valsalva aneurysm extending into the LV and caused severe aortic regurgitation (AR) ...
متن کاملپارگی آنوریسم سینوس والسالوا چپ به شریان پولمونر اصلی: یک مورد بسیار نادر
Sinus of valsalva aneurysm, is a rare congenital defect and the diagnosis is usually made after it ruptures. The anomaly often involves the right coronary sinus and is less frequent in the noncoronary sinus. The rupture of the left sinus of valsalva into the pulmonary artery is extremely rare. So far, few cases with ruptured left sinus of valsalva have been reported. We are reporting a ruptur...
متن کاملValsalva sinus aneurysm of the non-coronary cuspid presenting as cyclops sign on multi-detector computed tomography.
An 8-year-old girl with Williams syndrome was found to have a heart murmur. Cardiac CT demonstrated a Valsalva sinus aneurysm (VSA) of the non-coronary cuspid, with left atrium (LA) indentation, resembling the face of Cyclops on a coronal reformatted image. Williams syndrome is related to some congenital disorders with interruption of the tunica media from the aortic root to the annular fibrous...
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عنوان ژورنال:
- British heart journal
دوره 54 4 شماره
صفحات -
تاریخ انتشار 1985