RT Journal Article
T1 Resuscitated sudden cardiac death caused by left main coronary artery compression by an aneurysm of the sinus of Valsalva.
A1 Ramírez-Marrero, Miguel Ángel
A1 Alonso Briales, Juan H
A1 López-Rincón, Francisco
K1 Válvula aórtica
K1 Insuficiencia de la válvula aórtica
K1 Puente de arteria coronaria
K1 Enfermedad de la arteria coronaria
K1 Muerte súbita cardíaca
K1 Paro cardíaco
K1 Implantación de prótesis de válvulas cardíacas
K1 Humanos
K1 Seno aórtico
AB A 49-year-old woman, without known cardiovascular risk factors. Hoarseness of voice caused by a paralysis of left vocalcord. She was admitted to hospital because of acute coronary syndrome, associated to resuscitated cardiac arrest (asystoliadocumented) without later neurology sequels. Physical examination was anodyne. Echocardiographic study demonstrated acompatible image with a large left sinus of Valsalva aneurysm (SVA) (Panel A) and mild aortic regurgitation. Cardiac catheterizationconfirmed 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 closingthe 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 wasperformed, 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 bycoronary 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.
PB Oxford Open
SN 0195-668X
YR 2007
FD 2007-12
LK http://hdl.handle.net/10668/1728
UL http://hdl.handle.net/10668/1728
LA en
NO 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
NO Clinical vignette
DS RISalud
RD Apr 8, 2025