title: Chest Pain after Aortic Valve Replacement: Rupture of Right Sinus of Valsalva Presenting as Myocardial Infarction.
abstract: BACKGROUND
  A 47-year-old male presented with retrosternal chest pain, which had started 4 days previously and had become excruciating for the past 6 h. He had undergone mechanical aortic valve replacement surgery 4 months previously.
  
  
  METHODS
  Electrocardiography, echocardiography, computed tomography-angiography of the aorta.
  
  
  METHODS
  Rupture of the right sinus of Valsalva and right coronary artery dissection.
  
  
  RESULTS
  The defect in the right coronary sinus was closed, and the dissection at the root of the right coronary artery was resected and the right coronary artery bypassed to the root of the aorta.
authors.affiliation: Cardiovascular Department, First Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an, PR China.
authors.forename: Jianqing
authors.initials: J
authors.lastname: She
authors.forename: Zhan
authors.initials: Z
authors.lastname: Hu
authors.forename: Yangyang
authors.initials: Y
authors.lastname: Deng
authors.forename: Fuqiang
authors.initials: F
authors.lastname: Liu
authors.forename: Zuyi
authors.initials: Z
authors.lastname: Yuan
mesh_terms: D001019:Aortic Rupture / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000601:surgery; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D000072226:Computed Tomography Angiography / Q000379:methods; D003937:Diagnosis, Differential; D003951:Diagnostic Errors / Q000517:prevention & control*; D042241:Early Diagnosis; D004452:Echocardiography / Q000379:methods; D004562:Electrocardiography / Q000379:methods; D006350:Heart Valve Prosthesis / Q000009:adverse effects; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis*; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging / Q000473:pathology; D016896:Treatment Outcome