Ruptured sinus of Valsalva aneurysm presenting as ST-elevation myocardial infarction.
BACKGROUND
A 52-year-old man presented with central chest pain, which he had experienced for 8 h. He had no other associated symptoms and no prior history of cardiovascular disease.


METHODS
Electrocardiography, chest radiography, coronary angiography, aortic angiography, echocardiography, CT thorax with contrast.


METHODS
Ruptured aneurysm of the sinus of Valsalva.


RESULTS
Emergency sternotomy and pericardiotomy, followed by aortic root replacement.
Lindsay
Alistair C
AC
Harefield Hospital, Harefield, Middlesex UB9 6JH, UK.
Mahesh
Balakrishnan
B
Gaer
Jullien A
JA
Dalby
Miles C D
MC
D000787:Angina Pectoris / Q000209:etiology; D001014:Aortic Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D001019:Aortic Rupture / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation; D017023:Coronary Angiography; D004452:Echocardiography; D004562:Electrocardiography; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D010492:Pericardiectomy; D013902:Radiography, Thoracic; D012501:Saphenous Vein / Q000637:transplantation; D012850:Sinus of Valsalva / Q000473:pathology* / Q000601:surgery; D013249:Sternum / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome