Case report: Acute ST-elevation myocardial infarction and cardiogenic shock caused by a giant right sinus of Valsalva aneurysm and right coronary artery compression

Ma, Lianyue; Yang, Jianmin; Liu, Yan; Wang, Fang; Liu, Tongtao; Wang, Ying; Sun, Honggang; Zhang, Cheng; Zhang, Yun

doi:10.3389/fcvm.2022.1013044

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…The 42 included reports comprised 46 patients with an unruptured aneurysm of the sinus of Valsalva [ 3 - 44 ]. Among the patients with an unruptured aneurysm, the most common symptom or condition leading to diagnosis was chest pain in 15, dyspnea in 12, follow-up for another cardiac disease (e.g., Marfan syndrome) in six, atrioventricular block in five, heart murmurs in two, and dizziness or fainting in two.…”

Section: Discussionmentioning

confidence: 99%

Systolic Ejection Murmurs Due to Unruptured Aneurysm of the Sinus of Valsalva

Noguchi¹,

Kawasaki²,

Yamano³

et al. 2023

Cureus

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Aneurysm of the sinus of Valsalva is a rare condition with variable clinical presentation. We present a case of an unruptured aneurysm of the right sinus of Valsalva, in which a systolic ejection murmur was instrumental in the diagnosis. An asymptomatic 72-year-old man was referred to the cardiology department because of a heart murmur. Physical examination was unremarkable except for a grade 3 systolic murmur, loudest at the third left sternal border. Echocardiography revealed a sac-like structure protruding into the right ventricle and attached to the right sinus of Valsalva with a right ventricular outflow tract obstruction during endsystole. Multidetector computed tomography showed an aneurysm of the right sinus of Valsalva with a diameter of 28 × 19 mm; no contrast leakage from the aneurysm was detected. A diagnosis of an unruptured aneurysm of the right sinus of Valsalva was made. Surgical repair was successfully performed, and the murmur disappeared postoperatively. This case underscores the importance of physical examination even in the era of advanced imaging techniques and the need to recognize the wide range of causes of heart murmurs.

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Section: Discussionmentioning

confidence: 99%

Systolic Ejection Murmurs Due to Unruptured Aneurysm of the Sinus of Valsalva

Noguchi¹,

Kawasaki²,

Yamano³

et al. 2023

Cureus

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Giant unruptured sinus of Valsalva aneurysms causing angina pectoris

Hu,

Wan,

Sun

et al. 2024

J Cardiothorac Surg

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Background Sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly which can be congenital or acquired. Patients with SVA are commonly asymptomatic when the occupying effect of SVA is insignificant, while ruptured SVA usually causes severe symptoms including heart failure and myocardial ischemia. Case presentation We present an unusual case of a 64-year-old female manifesting with exertional dyspnea as well as angina pectoris for three months. Echocardiography and cardiac computed tomographic angiography confirmed unruptured left-coronary and non-coronary SVAs. The left anterior descending artery and left circumflex artery were stretched and compressed by the SVA which causing myocardial ischemia. The patient finally received aortic root replacement (Bentall procedure) and got symptom relieved. Conclusions Giant unruptured SVA originating from left coronary sinus is extremely rare. Our case highlights that giant SVA should be considered in cases with angina pectoris. Echocardiography and coronary computed tomographic angiography are useful and important for diagnosis. Surgery is highly recommended in patients with SVA.

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Sudden Cardiac Death from Acute Myocardial Infarction Caused by Unruptured Ascending Aortic Aneurysm Involving the Sinus of Valsalva: An Autopsy Case

Jang,

Lee,

Noh

2023

Korean J Leg Med

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Ascending aortic aneurysm of the thorax is a condition characterized by an increase in the diameter of the ascending aorta between the aortic valve and the brachiocephalic artery. Most patients with ascending aortic aneurysm are asymptomatic and do not require treatment; the rates of dissection, rupture, and mortality are also low. In this report, we describe the autopsy findings in a case of sudden death due to acute myocardial infarction secondary to the previously asymptomatic, unruptured, and undissected aortic aneurysm of the thoracic ascending aorta extending to the sinus of Valsalva. The findings in this case emphasize the importance of preventive management of asymptomatic ascending aortic aneurysms, and possible mechanisms of sudden cardiac death in patients with uncomplicated ascending aortic aneurysm is also discussed.

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Case report: Acute ST-elevation myocardial infarction and cardiogenic shock caused by a giant right sinus of Valsalva aneurysm and right coronary artery compression

Cited by 3 publications

References 13 publications

Systolic Ejection Murmurs Due to Unruptured Aneurysm of the Sinus of Valsalva

Systolic Ejection Murmurs Due to Unruptured Aneurysm of the Sinus of Valsalva

Giant unruptured sinus of Valsalva aneurysms causing angina pectoris

Sudden Cardiac Death from Acute Myocardial Infarction Caused by Unruptured Ascending Aortic Aneurysm Involving the Sinus of Valsalva: An Autopsy Case

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