Left sinus of Valsalva aneurysm as a cause of chronic stable angina.
Sinus of Valsalva aneurysms are unusual, particularly when located on the left coronary sinus. They are mainly asymptomatic, however once ruptured, they are associated with high mortality. We present hereinafter an atypical case of a 71-year-old patient with an unruptured left sinus of Valsalva aneurysm causing myocardial ischaemia due to a compressed left main coronary artery. Surgical endoaneurysmorrhaphy was performed; however, a dehiscence of the suture line between the patch and the aortic wall required additional percutaneous implantation of a vascular occluder.
Department of Diagnostic and Interventional Radiology, Lausanne University Hospital, Lausanne, Switzerland.|Department of Cardiac Surgery, Lausanne University Hospital, Lausanne, Switzerland.
Alexandre
A
Ponti
Department of Diagnostic and Interventional Radiology, Lausanne University Hospital, Lausanne, Switzerland.
Salah D
SD
Qanadli
Department of Cardiac Surgery, Lausanne University Hospital, Lausanne, Switzerland.
Matthias
M
Kirsch
Department of Cardiology, Lausanne University Hospital, Lausanne, Switzerland.|Department of Cardiology, Valais Hospital, Valais, Switzerland.
Maxime
M
Tapponnier
D000368:Aged; D060050:Angina, Stable / Q000175:diagnosis / Q000209:etiology*; D001014:Aortic Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D002908:Chronic Disease; D000072226:Computed Tomography Angiography; D017023:Coronary Angiography; D006801:Humans; D008297:Male; D012850:Sinus of Valsalva; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures / Q000379:methods*
Cardiac CT; Embolization; Sinus of Valsalva aneurysm; Surgery; Vascular plug