Rupture of a Left Sinus of Valsalva Aneurysm With Coronary Compression: A Rare Cause of Ischemic Chest Pain Florim Cuculi, MD, Michele Rossi, MD, Kevin.

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Presentation transcript:

Rupture of a Left Sinus of Valsalva Aneurysm With Coronary Compression: A Rare Cause of Ischemic Chest Pain Florim Cuculi, MD, Michele Rossi, MD, Kevin M. Bradley, MRCP, Stephen Westaby, PhD The Annals of Thoracic Surgery Volume 92, Issue 5, Pages e97-e99 (November 2011) DOI: 10.1016/j.athoracsur.2011.05.094 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Electrocardiograph demonstrating ST elevation in the anterior and inferior leads. (B) Transthoracic echocardiography demonstrating a pericardial effusion (arrow) and fluid accumulation on the dorsal part of the aorta (dashed arrow), but no dissection. The Annals of Thoracic Surgery 2011 92, e97-e99DOI: (10.1016/j.athoracsur.2011.05.094) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A, B) Computed tomography showing the compression of the left main (black arrow) by the aneurysm (white arrow). The black arrows in (A) and (B) refer to the compression of the left main artery, and the asterisks (*) refer to the pericardial effusion. (C, D) Transesophageal echocardiography with a long axis view (C) showing an apparently normal aortic root and a short-axis view (D) demonstrating the sinus of Valsalva aneurysm (arrow). The Annals of Thoracic Surgery 2011 92, e97-e99DOI: (10.1016/j.athoracsur.2011.05.094) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Three-dimensional reconstruction of the computed tomography angiogram showing the aneurysm (white arrow) compressing the left main stem (black arrow). (B) Intraoperative view showing the proximity of the aneurysm (white arrow) and the left main ostium (black arrow). The Annals of Thoracic Surgery 2011 92, e97-e99DOI: (10.1016/j.athoracsur.2011.05.094) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions