title: [Complication of a complex heart failure: perforation of a sinus Valsalva [corrected] aneurysm].
abstract: A 68-year-old woman was admitted to hospital because of chronic heart failure. The cause was a left-right shunt between the left sinus of Valsalva and the right atrium. The patient underwent surgery with shunt closure. Intraoperatively, the ramus circumflexus of the coronary artery was occluded. 2.5 years later the patient was readmitted to hospital. There was acute heart failure caused by an ischemic mitral regurgitation III degrees . A planned mitral valve replacement and operative myocardial revascularization were not performed because the patient developed a drug-induced hepatotoxic failure under phenprocoumon.
authors.affiliation: Medizinische Klinik II, Klinikum Lippe Detmold, Röntgenstrasse 18, 32756 Detmold. Ralf-Felgendreher@Klinikum-Lippe.de
authors.forename: Ralf
authors.initials: R
authors.lastname: Felgendreher
authors.forename: Alessandro
authors.initials: A
authors.lastname: Cuneo
authors.forename: Stefan
authors.initials: S
authors.lastname: Hochreuther
authors.forename: Dirk
authors.initials: D
authors.lastname: Härtel
authors.forename: Ulrich
authors.initials: U
authors.lastname: Tebbe
mesh_terms: D000368:Aged; D013504:Cardiovascular Surgical Procedures / Q000009:adverse effects*; D005260:Female; D006322:Heart Aneurysm / Q000209:etiology*; D006333:Heart Failure / Q000150:complications* / Q000601:surgery*; D006801:Humans; D012850:Sinus of Valsalva / Q000293:injuries*; D014950:Wounds, Penetrating / Q000209:etiology*