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Ruptured sinus of Valsalva aneurysm presenting as ST-elevation myocardial infarction
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Ruptured sinus of Valsalva aneurysm presenting as ST-elevation myocardial infarction
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Journal Article
Ruptured sinus of Valsalva aneurysm presenting as ST-elevation myocardial infarction
2009
Overview
Lindsay
et al
. present an interesting case of a patient with a ruptured sinus of Valsalva aneurysm. The authors recommend the early use of imaging modalities for prompt diagnosis, as anticoagulation therapy might have detrimental effects on patient outcome. Reparative surgery is safe and successful in almost all noninfective cases.
Background.
A 52-year-old man presented with central chest pain, which he had experienced for 8 h. He had no other associated symptoms and no prior history of cardiovascular disease.
Investigations.
Electrocardiography, chest radiography, coronary angiography, aortic angiography, echocardiography, CT thorax with contrast.
Diagnosis.
Ruptured aneurysm of the sinus of Valsalva.
Management.
Emergency sternotomy and pericardiotomy, followed by aortic root replacement.
Publisher
Nature Publishing Group UK,Nature Publishing Group
Subject
/ Aortic Aneurysm - complications
/ Aortic Rupture - complications
/ Blood Vessel Prosthesis Implantation
/ Complications and side effects
/ Heart
/ Heart Valve Prosthesis Implantation
/ Humans
/ Male
/ Medicine
/ Methods
/ Myocardial Infarction - etiology
/ Myocardial Infarction - pathology
/ Myocardial Infarction - surgery
/ Saphenous Vein - transplantation
/ Sinus of Valsalva - pathology
/ Surgery
