An unruptured aneurysm in the right sinus of Valsalva presenting as coronary insufficiency.
A giant aneurysm in the right sinus of Valsalva compressed the right coronary artery and caused angina pectoris in a 44-year-old man. Surgical correction consisted of obliterating the orifice of the aneurysm with a Dacron patch and relocating the right coronary artery. Postoperative angiography demonstrated excellent results. Pathological study demonstrated the absence of normal elastic fibers in the media of the aneurysm.
Okita
Y
Y
Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan.
Takamoto
S
S
Ando
M
M
Morota
T
T
Hirai
H
H
Kawashima
Y
Y
Watanabe
H
H
D000328:Adult; D001014:Aortic Aneurysm / Q000150:complications* / Q000601:surgery*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000209:etiology*; D006801:Humans; D008297:Male; D012850:Sinus of Valsalva