Publication: Resuscitated sudden cardiac death caused by left main coronary artery compression by an aneurysm of the sinus of Valsalva.
Loading...
Identifiers
Date
2007-12
Authors
Ramírez-Marrero, Miguel Ángel
Alonso Briales, Juan H
López-Rincón, Francisco
Advisors
Journal Title
Journal ISSN
Volume Title
Publisher
Oxford Open
Abstract
A 49-year-old woman, without known cardiovascular risk factors. Hoarseness of voice caused by a paralysis of left vocal
cord. She was admitted to hospital because of acute coronary syndrome, associated to resuscitated cardiac arrest (asystolia
documented) without later neurology sequels. Physical examination was anodyne. Echocardiographic study demonstrated a
compatible image with a large left sinus of Valsalva aneurysm (SVA) (Panel A) and mild aortic regurgitation. Cardiac catheterization
confirmed the presence of left SVA (Panel B) that produced extrinsic compression of the left main coronary artery (Panels C and D). Repair surgery was made by means of closing
the aneurysmal orifice with a patch of dacron. Intra-operatory echocardiographic control study found severe aortic regurgitation, so valvular replacement with 19 mm mechanical prosthesis and extension of the valve annulus with patch of dacron was
performed, associated with bypass with safena vein graft to left coronary artery.
SVA is a very infrequent cardiac anomaly, generally with silent clinical course until it ruptures. Myocardial ischaemia caused by
coronary artery compression is unusual. We described the case of a patient diagnosed of left SVA, whose initial clinical manifestation was the appearance of resuscitated sudden cardiac death in the context of an acute coronary syndrome.
Description
Clinical vignette
MeSH Terms
Medical Subject Headings::Anatomy::Cardiovascular System::Heart::Heart Valves::Aortic Valve
Medical Subject Headings::Diseases::Cardiovascular Diseases::Heart Diseases::Heart Valve Diseases::Aortic Valve Insufficiency
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Thoracic Surgical Procedures::Cardiac Surgical Procedures::Myocardial Revascularization::Coronary Artery Bypass
Medical Subject Headings::Diseases::Cardiovascular Diseases::Heart Diseases::Myocardial Ischemia::Coronary Disease::Coronary Artery Disease
Medical Subject Headings::Diseases::Cardiovascular Diseases::Heart Diseases::Heart Arrest::Death, Sudden, Cardiac
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Cardiovascular Surgical Procedures::Cardiac Surgical Procedures::Heart Valve Prosthesis Implantation
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Prosthesis Implantation::Heart Valve Prosthesis Implantation
Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Middle Aged
Medical Subject Headings::Anatomy::Cardiovascular System::Blood Vessels::Arteries::Aorta::Sinus of Valsalva
Medical Subject Headings::Anatomy::Cardiovascular System::Blood Vessels::Arteries::Aorta::Sinus of Valsalva
Medical Subject Headings::Diseases::Cardiovascular Diseases::Heart Diseases::Heart Valve Diseases::Aortic Valve Insufficiency
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Thoracic Surgical Procedures::Cardiac Surgical Procedures::Myocardial Revascularization::Coronary Artery Bypass
Medical Subject Headings::Diseases::Cardiovascular Diseases::Heart Diseases::Myocardial Ischemia::Coronary Disease::Coronary Artery Disease
Medical Subject Headings::Diseases::Cardiovascular Diseases::Heart Diseases::Heart Arrest::Death, Sudden, Cardiac
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Cardiovascular Surgical Procedures::Cardiac Surgical Procedures::Heart Valve Prosthesis Implantation
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Prosthesis Implantation::Heart Valve Prosthesis Implantation
Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Middle Aged
Medical Subject Headings::Anatomy::Cardiovascular System::Blood Vessels::Arteries::Aorta::Sinus of Valsalva
Medical Subject Headings::Anatomy::Cardiovascular System::Blood Vessels::Arteries::Aorta::Sinus of Valsalva
DeCS Terms
CIE Terms
Keywords
Válvula aórtica, Insuficiencia de la válvula aórtica, Puente de arteria coronaria, Enfermedad de la arteria coronaria, Muerte súbita cardíaca, Paro cardíaco, Implantación de prótesis de válvulas cardíacas, Humanos, Seno aórtico
Citation
Ramírez-Marrero MA, Alonso Briales JH, López-Rincón F. Resuscitated sudden cardiac death caused by left main coronary artery compression by an aneurysm of the sinus of Valsalva. European Heart Journal. 2007 ; 28(24):2959