Giant left sinus of Valsalva aneurysm as a rare cause of acute myocardial infarction: a case report
Abstract
Left SVAs are rare and frequently asymptomatic, typically being identified incidentally. Due to the close proximity of the left coronary system, they can present with myocardial ischaemia due to extrinsic compression of the coronary system. We were able to perform a comprehensive multi-modality assessment of left SVA, which helped establish this unusual diagnosis and guide management. Transthoracic echocardiogram and TOE helped assess the SVA and demonstrated the thrombus in situ, aortic valve insufficiency, and cardiac function. The computed tomography scan aided in accurately defining the extent of the aneurysm and the extent of compression of the left coronary system and cardiac magnetic resonance scan was able to demonstrate viability in LAD and circumflex territory.
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Date
2024-01-25
Type
Article
Subject
Cardiology, Radiology
Collections
Citation
Maqableh GM, Yuan M, Moody W, Baig S, Khan SQ. Giant left sinus of Valsalva aneurysm as a rare cause of acute myocardial infarction: a case report. Eur Heart J Case Rep. 2024 Jan 25;8(2):ytae047. doi: 10.1093/ehjcr/ytae047
Journal / Source Title
European Heart Journal - Case Reports
DOI
10.1093/ehjcr/ytae047
PMID
38328598
Publisher
Oxford University Press
Publisher’s URL
https://academic.oup.com/ehjcr/article/8/2/ytae047/7589700?searchresult=1