Delayed Rupture of the Right Sinus of Valsalva into the Right Atrium after Percutaneous Coronary Intervention.
10.3904/kjim.2009.24.4.388
- Author:
Seung Yong SHIN
1
;
Hyung Joon JOO
;
Sang Yup LIM
;
Seong Mi PARK
;
Soon Jun HONG
;
Wan Joo SHIM
;
Do Sun LIM
Author Information
1. Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. dslmd@kumc.or.kr
- Publication Type:Case Report
- Keywords:
Sinus of Valsalva;
Angioplasty;
Percutaneous coronary intervention;
Complications
- MeSH:
Aged;
Angioplasty, Transluminal, Percutaneous Coronary/*adverse effects;
Aortic Rupture/*etiology;
Echocardiography, Transesophageal;
Heart Atria/*pathology;
Humans;
Male;
*Sinus of Valsalva;
Time Factors
- From:The Korean Journal of Internal Medicine
2009;24(4):388-392
- CountryRepublic of Korea
- Language:English
-
Abstract:
Rupture of the sinus of Valsalva is an extremely rare complication after percutaneous coronary intervention (PCI). Because it usually results from the retrograde extension of a dissection of the right coronary artery and may quickly spread to involve the entire aorta, it can cause life-threatening complications such as aortic dissection. If the dissection remains localized, it can resolve spontaneously in the first month. Our patient experienced a delayed rupture of the right sinus of Valsalva into the right atrium at approximately 3 months after PCI.