title: Ruptured right sinus of valsalva aneurysm to the right atrium mimicking acute myocardial infarction.
abstract: We present a rare case involving a ruptured sinus of Valsalva aneurysm (SVA) and acute myocardial infarction in a 39-year-old male patient. Coronary angiography showed normal findings; however, the patient showed remarkably elevated levels of cardiac enzymes and decreased left ventricular function with apical akinesia on transthoracic echocardiography. Transesophageal echocardiography revealed shunt flow from the SVA to the right atrium without significant aortic regurgitation. Preoperative cardiac arrest was managed by cardiopulmonary resuscitation, and surgical repair was performed by closing the entrance of the aneurysm. However, the compromised hemodynamic status was not reversed by surgery.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Eulji General Hospital, Eulji University School of Medicine, Seoul, Korea.
authors.forename: Jae Hoon
authors.initials: JH
authors.lastname: Lee
authors.forename: Sung Kee
authors.initials: SK
authors.lastname: Ryu
authors.forename: Ji Hyun
authors.initials: JH
authors.lastname: Lee
authors.forename: Ji Young
authors.initials: JY
authors.lastname: Park
authors.forename: Jae Woong
authors.initials: JW
authors.lastname: Choi
authors.forename: Man Sil
authors.initials: MS
authors.lastname: Park
authors.forename: Oh Kyung
authors.initials: OK
authors.lastname: Lim
keywords: Multiple organ failure; Myocardial infarction; Sinus of Valsalva
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