Ruptured Right Sinus of Valsalva Aneurysm to the Right Atrium Mimicking Acute Myocardial Infarction.

Author: Jae Hoon LEE ¹ ; Sung Kee RYU ; Ji Hyun LEE ; Ji Young PARK ; Jae Woong CHOI ; Man Sil PARK ; Oh Kyung LIM
Author Information

1. Department of Thoracic and Cardiovascular Surgery, Eulji General Hospital, Eulji University School of Medicine, Seoul, Korea.
Publication Type:Case Report
Keywords: Sinus of Valsalva; Myocardial infarction; Multiple organ failure
MeSH: Aneurysm; Aortic Valve Insufficiency; Cardiopulmonary Resuscitation; Coronary Angiography; Echocardiography; Echocardiography, Transesophageal; Heart Arrest; Heart Atria; Hemodynamics; Humans; Male; Multiple Organ Failure; Myocardial Infarction; Sinus of Valsalva; Ventricular Function, Left
From:Journal of Cardiovascular Ultrasound 2013;21(1):23-25
CountryRepublic of Korea
Language:English
Abstract: We present a rare case involving a ruptured sinus of Valsalva aneurysm (SVA) and acute myocardial infarction in a 39-year-old male patient. Coronary angiography showed normal findings; however, the patient showed remarkably elevated levels of cardiac enzymes and decreased left ventricular function with apical akinesia on transthoracic echocardiography. Transesophageal echocardiography revealed shunt flow from the SVA to the right atrium without significant aortic regurgitation. Preoperative cardiac arrest was managed by cardiopulmonary resuscitation, and surgical repair was performed by closing the entrance of the aneurysm. However, the compromised hemodynamic status was not reversed by surgery.