title: 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.
abstract: 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.
authors.affiliation: Intensive Care Unit, Cardiology Hospital, Bd Pr J. Leclercq, 59000 Lille, France. ennezat@yahoo.com
authors.forename: Pmerre V
authors.initials: PV
authors.lastname: Ennezat
authors.forename: Arnaud
authors.initials: A
authors.lastname: Sudre
authors.forename: Sebastien
authors.initials: S
authors.lastname: Pouwels
authors.forename: Jean M
authors.initials: JM
authors.lastname: Aubert
authors.forename: Hélène
authors.initials: H
authors.lastname: Cordova
authors.forename: Pmerre P
authors.initials: PP
authors.lastname: Samaille
authors.forename: Xavier
authors.initials: X
authors.lastname: Gonin
authors.forename: Karine
authors.initials: K
authors.lastname: Sautière
authors.forename: Jean J
authors.initials: JJ
authors.lastname: Bauchart
authors.forename: Jean L
authors.initials: JL
authors.lastname: Auffray
authors.forename: Eric
authors.initials: E
authors.lastname: Van Belle
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Lablanche
authors.forename: Patrick
authors.initials: P
authors.lastname: Goldstein
authors.forename: Philippe
authors.initials: P
authors.lastname: Asseman
mesh_terms: 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*