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In patients with STEMI undergoing primary PCI, high GGT levels at admission were found to be associated with no-reflow phenomenon and increased long-term mortality.

A 48-year-old woman was admitted with dyspnea. Echocardiography showed noncoronary sinus of Valsalva aneurysm (4.5 cm  5.1 cm) compressing the left atrium. A flap-like appearance was visualized in this unruptured aneurysm (Fig. 1, Videos 1 and 2). Computerized tomography revealed the aneurysm and the Debakey type 2 dissection flap (Fig. 2). European Journal of Cardio-thoracic Surgery 36 (2009) 187 Fig. 2. Parts A, B and C are the computerized tomographic angiography images of different segments of the ascending aorta. The ascending aorta is dilated. The black arrow shows Debakey type 2 dissection flap at different segments of the ascending aorta.Fig. 1. (A) In transthoracic echocardiography, the parasternal long axis view shows a cystic mass, a noncoronary sinus of Valsalva aneurysm, compressing the left atrium. (B) In the parasternal short axis view, the noncoronary sinus of Valsalva is aneurysmatic and a flap-like appearance (white arrow) can easily be seen. LV, left ventricle; LA, left atrium; RV, right ventricle; SVA, sinus of Valsalva aneurysm; NCC, noncoronary cusp; RCC, right coronary cusp; LCC, left coronary cusp; PV, pulmonary valve; PA, pulmonary artery.

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