Acute coronary syndromes associated with thrombus in the sinus of valsalva and normal coronary arteriography: the pivotal role of transesophageal echocardiography in the intensive care unit.
We describe 4 patients with thrombus in nonaneurysmal sinus of Valsalva. The diagnosis was made with transesophageal echocardiography performed in the Intensive care unit, in the setting of acute coronary syndromes. Coronary arterlography showed normal coronary arteries in each patient. In 3 patients, conservative medical therapy resulted in full recovery. Two patients had previously undergone aortic valve surgery.
Ennezat
Pmerre V
PV
Intensive Care Unit, Cardiology Hospital, Bd Pr J. Leclercq, 59000 Lille, France. ennezat@yahoo.com
Sudre
Arnaud
A
Pouwels
Sebastien
S
Aubert
Jean M
JM
Cordova
Hélène
H
Samaille
Pmerre P
PP
Gonin
Xavier
X
Sautière
Karine
K
Bauchart
Jean J
JJ
Auffray
Jean L
JL
Van Belle
Eric
E
Lablanche
Jean-Marc
JM
Goldstein
Patrick
P
Asseman
Philippe
P
D000328:Adult; D000368:Aged; D017023:Coronary Angiography; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging* / Q000209:etiology; D012850:Sinus of Valsalva; D013927:Thrombosis / Q000150:complications / Q000000981:diagnostic imaging*