Unruptured aneurysm of the left sinus of Valsalva causing coronary insufficiency case report and review of the literature

Aneurysm of the left sinus of Valsalva is extremely rare. Compression of the left coronary artery by such an aneurysm is an unusual complication of this condition and can cause coronary insufficiency. We describe the case of a 75-year-old woman who had an isolated unruptured aneurysm of the left cor...

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Veröffentlicht in:Texas Heart Institute journal 2002, Vol.29 (1), p.40-44
Hauptverfasser: LIJOI, Antonio, PARODI, Enrico, PASSERONE, Gian Carlo, SCARANO, Flavio, CARUSO, Davide, VITO LANNETTI, Mario
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container_issue 1
container_start_page 40
container_title Texas Heart Institute journal
container_volume 29
creator LIJOI, Antonio
PARODI, Enrico
PASSERONE, Gian Carlo
SCARANO, Flavio
CARUSO, Davide
VITO LANNETTI, Mario
description Aneurysm of the left sinus of Valsalva is extremely rare. Compression of the left coronary artery by such an aneurysm is an unusual complication of this condition and can cause coronary insufficiency. We describe the case of a 75-year-old woman who had an isolated unruptured aneurysm of the left coronary sinus with intraluminal thrombus, which caused coronary artery compression. We performed successful surgical correction by closing the mouth of the aneurysm without aortic valve replacement or coronary artery bypass grafting. A review of the world medical literature revealed 19 cases of sinus of Valsalva aneurysms that hindered the coronary arterial flow. The previously published reports of this rare condition and its treatment are discussed herein.
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subjects Aged
Aortic Aneurysm - complications
Aortic Aneurysm - surgery
Aortic Diseases - complications
Aortic Diseases - surgery
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Case Reports
Coronary Stenosis - etiology
Coronary Stenosis - surgery
Diseases of the aorta
Female
Humans
Medical sciences
Sinus of Valsalva - abnormalities
Thrombosis - complications
Thrombosis - surgery
title Unruptured aneurysm of the left sinus of Valsalva causing coronary insufficiency case report and review of the literature
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