title: Myocardial ischemia resulting from spontaneous dissection in a patient with massive bilateral sinus of valsalva aneurysms.
abstract: We describe a patient with large sinus of Valsalva aneurysms involving both the left and right coronary sinuses. Spontaneous dissection of the left coronary artery occurred, causing unstable angina, a complication heretofore not associated with this disease. Successful surgical reconstruction of the aortic root, aortic valve replacement, and coronary bypass grafting were performed. Pathology revealed cystic medial necrosis.
authors.affiliation: Department of Medicine, St Joseph's Hospital, Syracuse, New York 13203, USA.
authors.forename: R P
authors.initials: RP
authors.lastname: Caputo
authors.forename: J
authors.initials: J
authors.lastname: Rosenberg
authors.forename: K
authors.initials: K
authors.lastname: Fedele
authors.forename: A
authors.initials: A
authors.lastname: Giambartolomei
mesh_terms: D001011:Aorta / Q000601:surgery; D001014:Aortic Aneurysm / Q000150:complications* / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003331:Coronary Vessels / Q000473:pathology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000209:etiology* / Q000601:surgery; D012850:Sinus of Valsalva