title: Giant aneurysm in the sinus of Valsalva presenting as an acute coronary symptom.
abstract: We describe an 85-year old male who was admitted to the hospital with acute coronary symptoms. Bedside echocardiography revealed a structure in the aortic root, and a computed tomography scan verified the diagnosis of an aneurysm in the sinus of Valsalva below the left coronary ostium. A coronary angiography also depicted the aneurysm clearly and clearly showed how the aneurysm compressed and dislocated the left main coronary artery, explaining his initial symptoms. The patient was operated on with an aortic root replacement procedure, and recovered quickly.
authors.affiliation: Department of Cardiothoracic Surgery Anesthesia and Intensive Care, Lund-Skane University Hospital, Lund, Sweden. henrik.bjursten@med.lu.se
authors.forename: Henrik
authors.initials: H
authors.lastname: Bjursten
authors.forename: Jan
authors.initials: J
authors.lastname: Harnek
authors.forename: Doris
authors.initials: D
authors.lastname: Cunha-Goncalves
authors.forename: Bansi
authors.initials: B
authors.lastname: Koul
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000369:Aged, 80 and over; D001014:Aortic Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D017023:Coronary Angiography; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D019095:Point-of-Care Systems; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Acute coronary symptom; Aneurysm; Sinus of Valsalva