Details

Autor(en) / Beteiligte

• Dalby, Miles C. D
• Lindsay, Alistair C
• Mahesh, Balakrishnan
• Gaer, Jullien A

Titel

Ruptured sinus of Valsalva aneurysm presenting as ST-elevation myocardial infarction

Ist Teil von

• Nature reviews cardiology, 2009-05, Vol.6 (5), p.379-382

Ort / Verlag

London: Nature Publishing Group UK

Erscheinungsjahr

2009

Quelle

MEDLINE

Beschreibungen/Notizen

• 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.