title: Large aneurysm of left coronary sinus of Valsalva presenting with effort-related ventricular fibrillation.
abstract: Sinus of Valsalva aneurysms are very rare and are often asymptomatic. Clinical manifestations depend on associated complications, most commonly rupture or dissection. We describe the unusual case of a 46-year old presenting with exercise-induced ventricular fibrillation due to extrinsic compression of the left coronary artery. We also describe the surgical correction by valve-sparing aortic root replacement.
authors.affiliation: Royal Brompton & Harefield NHS Foundation Trust, London, UK. ffalconieri@hotmail.com
authors.forename: Fabio
authors.initials: F
authors.lastname: Falconieri
authors.forename: Michael
authors.initials: M
authors.lastname: Rubens
authors.forename: Mario
authors.initials: M
authors.lastname: Petrou
mesh_terms: D001014:Aortic Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D017023:Coronary Angiography / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D005082:Physical Exertion; D012420:Running; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014693:Ventricular Fibrillation / Q000175:diagnosis / Q000209:etiology*