Sinus of Valsalva aneurysm presenting as myocardial infarction during dobutamine stress test.
We report a patient with an undiagnosed left sinus of Valsalva aneurysm who, during a dobutamine stress test, had myocardial injury and subsequent infarction. Cardiac catheterization revealed an expanding sinus of valsalva aneurysm compressing the circumflex coronary artery. The clinical manifestations of sinus of Valsalva aneurysm are discussed. This report heightens awareness of the possible effects of the pharmacologic stress test.
Ferreira
A C
AC
Department of Medicine, University of Miami School of Medicine, FL 33136, USA.
de Marchena
E
E
Mayor
M
M
Bolooki
H
H
D001014:Aortic Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004280:Dobutamine; D004452:Echocardiography / Q000187:drug effects / Q000379:methods*; D004562:Electrocardiography / Q000187:drug effects; D005080:Exercise Test / Q000187:drug effects / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging / Q000601:surgery
D004280:Dobutamine