title: Acute myocardial infarction due to unruptured aneurysm of left sinus of valsalva with aortic valve regurgitation.
abstract: This report describes a 35-year-old woman with unruptured aneurysm of the left sinus of Valsalva presenting as non-ST elevation myocardial infarction due to the compression of the left coronary artery by aneurysm. Cardiac multislice CT and angiogram revealed a large aneurysm of the left sinus of Valsalva compressing the left main coronary artery. Surgical repair was performed by closing the entrance of the aneurysm and aortic valve replacement. Postoperative coronary flow was restored and thus anginal symptom disappeared.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea. jekshin@yahoo.co.kr
authors.forename: Je Kyoun
authors.initials: JK
authors.lastname: Shin
authors.forename: Jong Pil
authors.initials: JP
authors.lastname: Jung
authors.forename: Chang Ryul
authors.initials: CR
authors.lastname: Park
authors.forename: Sang Gon
authors.initials: SG
authors.lastname: Lee
authors.forename: Eun Suk
authors.initials: ES
authors.lastname: Shin
authors.forename: Shin Jae
authors.initials: SJ
authors.lastname: Kim
authors.forename: Seong Hoon
authors.initials: SH
authors.lastname: Choi
mesh_terms: D000328:Adult; D001014:Aortic Aneurysm / Q000150:complications* / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000150:complications* / Q000601:surgery; D002315:Cardiopulmonary Bypass; D017023:Coronary Angiography; D003326:Coronary Circulation; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007036:Hypothermia, Induced; D009203:Myocardial Infarction / Q000209:etiology* / Q000601:surgery; D012850:Sinus of Valsalva / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed