Acute myocardial infarction due to unruptured aneurysm of left sinus of valsalva with aortic valve regurgitation.
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.
Shin
Je Kyoun
JK
Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea. jekshin@yahoo.co.kr
Jung
Jong Pil
JP
Park
Chang Ryul
CR
Lee
Sang Gon
SG
Shin
Eun Suk
ES
Kim
Shin Jae
SJ
Choi
Seong Hoon
SH
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