title: Coexistence of giant aneurysm of sinus of Valsalva and coronary artery aneurysm associated with idiopathic hypereosinophilic syndrome.
abstract: Aneurysms of the coronary sinuses of Valsalva and coronary artery aneurysms are uncommon cardiac anomalies, and cases in which these two uncommon lesions occur at the same time are extremely rare. A case of a woman with unstable angina who had a giant aneurysm of the left coronary sinus and multiple coronary artery aneurysms associated with an idiopathic hypereosinophilic syndrome is presented. Her sustained eosinophilia, elevated eosinophilic cationic protein concentration, and pathological findings of eosinophil infiltration of the aortic wall suggested the association of eosinophilia induced vascular injury as the cause of these aneurysms. This is the first such case to survive following surgical treatment.
authors.affiliation: First Department of Internal Medicine, Mie University School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan. okinakat@clin.medic.mie-u.ac.jp
authors.forename: T
authors.initials: T
authors.lastname: Okinaka
authors.forename: N
authors.initials: N
authors.lastname: Isaka
authors.forename: T
authors.initials: T
authors.lastname: Nakano
mesh_terms: D001014:Aortic Aneurysm / Q000150:complications*; D002637:Chest Pain / Q000209:etiology; D003323:Coronary Aneurysm / Q000150:complications*; D005260:Female; D006801:Humans; D017681:Hypereosinophilic Syndrome / Q000150:complications*; D008875:Middle Aged; D012008:Recurrence; D012850:Sinus of Valsalva