Acute Myocardial Infarction Due to an Unruptured Sinus of Valsalva Aneurysm in a Patient with Behcet's Syndrome.
10.3349/ymj.2007.48.5.883
- Author:
Sak LEE
1
;
Chang Young LEE
;
Kyung Jong YOO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Yonsei Cardiovascular Center, Yonsei University College of Medicine, Seoul, Korea. kjy@yuhs.ac
- Publication Type:Case Report
- Keywords:
Aneurysm;
coronary sinus;
myocardial infarction
- MeSH:
Aortic Aneurysm/*complications/radiography/surgery;
Behcet Syndrome/*complications;
Coronary Artery Bypass;
Female;
Humans;
Middle Aged;
Myocardial Infarction/*etiology;
*Sinus of Valsalva/surgery;
Tomography, X-Ray Computed
- From:Yonsei Medical Journal
2007;48(5):883-885
- CountryRepublic of Korea
- Language:English
-
Abstract:
This report describes the case of a 45-year-old Korean female who had suffered from Behcet's syndrome for two years with a huge, unruptured aneurysm originating from the left coronary sinus. The aneurysm had caused myocardial and aortic insufficiency by compressing the proximal left anterior descending coronary artery. The orifice of the aneurysm was at the left coronary sinus, about 5mm from the left main coronary ostium, and it was filled with organized thrombi. Surgical repair was performed by closing the entrance of the aneurysm with a Dacron patch and by implementing aortic valve repair and coronary artery bypass grafting. The patient's coronary flow was restored postoperatively, and all anginal symptoms disappeared.
