Acute Myocardial Infarction Due to Unruptured Aneurysm of Left Sinus of Valsalva with Aortic Valve Regurgitation

Abstract

This report describes a 35-year-old woman with unruptured aneurysm of the left sinus of Valsalva presenting as non-ST elevation myocardial infarction due to the compression of the left coronary artery by aneurysm. Cardiac multislice CT and angiogram revealed a large aneurysm of the left sinus of Valsalva compressing the left main coronary artery. Surgical repair was performed by closing the entrance of the aneurysm and aortic valve replacement. Postoperative coronary flow was restored and thus anginal symptom disappeared.

Myocardial ischemia due to compression of an unruptured thoracic aortic aneurysm in a patient with Marfan syndrome

“…In the literature, only three cases showed myocardial infarction due to aneurysmal compression. [4][5][6] In these reports, all of the patients had myocardial infarction of the left main coronary artery, and emergent surgery was undertaken, unlike in our case. [4][5][6] To our knowledge, ours is the fi rst case in which a patient could be correctly diagnosed as having ischemia of the RCA due to aneurysmal compression that was successfully treated before the onset of serious myocardial infarction.…”

Intracardiac shunting of ruptured Sinus of Valsalva aneurysm in a patient presented with acute myocardial infarction: role of 64-slice MDCT

“…Although, temporal resolution of MDCT remains inferior to conventional coronary angiography, its spatial resolution is approaching near to that of the latter [8]. To our knowledge only a few reports on the use of MDCT for the diagnosis of ruptured SVA are available [9].…”

Aneurysm of the left aortic sinus causing acute myocardial infarction

“…[1–4] Successful repair of the aneurysm, in some instances with coronary bypass grafting or aortic valve replacement because of aortic valve regurgitation, has been performed. [1–3] Our patient is the youngest reported to be managed for myocardial infarction due to left-side SVA, the first reported to be managed with coronary stenting, and the first to require additional mitral valve replacement. Six months after his surgery he remains well, and has engaged in non-competitive, non-contact sports.…”