Giant unruptured aneurysm of the left coronary sinus of Valsalva presenting as acute coronary syndrome: a case report

TY - JOUR

T1 - Giant unruptured aneurysm of the left coronary sinus of Valsalva presenting as acute coronary syndrome: a case report

AU - Mørk, Sivagowry Rasalingam

AU - Eftekhari, Ashkan

AU - Tang, Mariann

AU - Klaaborg, Kaj-Erik

PY - 2019/4

Y1 - 2019/4

N2 - BackgroundSinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly that can be congenital or acquired. Unruptured aneurysms may be asymptomatic but can present as malignant arrhythmias, acute chest pain, and even sudden cardiac death. Both ruptured and unruptured SVAs may have fatal complications, thus prompt diagnosis and surgery is critical.Case summaryWe report a successful surgical repair of an unruptured aneurysm of the left sinus of Valsalva presenting as acute coronary syndrome. Coronary angiography (CAG) and cardiac multislice computed tomography (CT) revealed a large unruptured aneurysm of the left sinus of Valsalva. Surgical repair was performed by resection of the aneurysm, aortic valve replacement with composite graft, and coronary artery bypass.DiscussionAneurysm of the left sinus of Valsalva is an extremely rare condition. Correct diagnosis can be done by echocardiography, CAG, or CT. Non-ruptured aneurysms should be surgically repaired if they are associated with significant symptoms or if their size enlarge rapidly.

AB - BackgroundSinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly that can be congenital or acquired. Unruptured aneurysms may be asymptomatic but can present as malignant arrhythmias, acute chest pain, and even sudden cardiac death. Both ruptured and unruptured SVAs may have fatal complications, thus prompt diagnosis and surgery is critical.Case summaryWe report a successful surgical repair of an unruptured aneurysm of the left sinus of Valsalva presenting as acute coronary syndrome. Coronary angiography (CAG) and cardiac multislice computed tomography (CT) revealed a large unruptured aneurysm of the left sinus of Valsalva. Surgical repair was performed by resection of the aneurysm, aortic valve replacement with composite graft, and coronary artery bypass.DiscussionAneurysm of the left sinus of Valsalva is an extremely rare condition. Correct diagnosis can be done by echocardiography, CAG, or CT. Non-ruptured aneurysms should be surgically repaired if they are associated with significant symptoms or if their size enlarge rapidly.

KW - Acute coronary syndrome

KW - Case report

KW - Left sinus of Valsalva

KW - Unruptured aneurysm

UR - http://www.scopus.com/inward/record.url?scp=85071315884&partnerID=8YFLogxK

U2 - 10.1093/ehjcr/ytz053

DO - 10.1093/ehjcr/ytz053

M3 - Journal article

C2 - 31449599

SN - 2514-2119

VL - 3

JO - European Heart Journal: Case Reports

JF - European Heart Journal: Case Reports

IS - 2

ER -