scholarly journals Coronary artery aneurysm with a fistulous connection to the right atrium mimicking a sinus of Valsalva aneurysm

Heart ◽  
2003 ◽  
Vol 89 (1) ◽  
pp. 4e-4 ◽  
Author(s):  
V Shrivastava
2018 ◽  
pp. bcr-2018-226197
Author(s):  
Masaki Kodaira ◽  
Takahito Itoh ◽  
Kiyoshi Koizumi ◽  
Yohei Numasawa

Patients with a coronary aneurysm alone do not generally exhibit continuous murmurs; however, murmurs may be detected in the presence of a fistula. A 57-year-old woman with chest pain was referred to us with a suspected diagnosis of a ruptured sinus of Valsalva aneurysm owing to the presence of a continuous murmur that was detected on physical examination. However, CT revealed a giant right coronary artery aneurysm draining into the right atrium. Consequently, surgery was performed. This case highlights the importance of implementing multiple imaging modalities for adequate differential diagnoses of patients presenting with continuous murmurs.


2014 ◽  
Vol 174 (3) ◽  
pp. e120-e121 ◽  
Author(s):  
Carlo Banfi ◽  
André Vincentelli ◽  
Pierre-Vladimir Ennezat ◽  
Marco Midulla ◽  
Merie Alibrahim ◽  
...  

1993 ◽  
Vol 56 (2) ◽  
pp. 372-374 ◽  
Author(s):  
George Abou Eid ◽  
Loic Lang-Lazdunski ◽  
Ulrik Hvass ◽  
Yves Pansard ◽  
Nadia Belmatoug ◽  
...  

2019 ◽  
Vol 12 (7) ◽  
pp. e231666 ◽  
Author(s):  
Mohammad Omair ◽  
Nicholas Roubos ◽  
Jennifer Johns ◽  
Piyush Srivastava

2018 ◽  
Vol 10 (6) ◽  
pp. E456-E458
Author(s):  
Syed Saif Abbas Rizvi ◽  
Jae Hwan Choi ◽  
Vakhtang Tchantchaleishvili ◽  
Howard Todd Massey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Guang Ying Zhuo ◽  
Pei Yong Zhang ◽  
Li Luo ◽  
Qian Tang ◽  
Tao Xiang

Abstract Background Unruptured sinus of valsalva aneurysm (SOVA) are typically asymptomatic, and hence can be easily ignored. Ruptured sinus of valsalva aneurysm (RSOVA) usually protrude into the right atrium or ventricular. However, in this case, the RSOVA protruded into the space between the right atrium and the visceral pericardium leading to compression of the right proximal coronary artery. Very few such cases have been reported till date. Case presentation We describe a case of ruptured right SOVA in a 61-year-old man with syncope and persistent hypotension. At the beginning, considered the markedly elevated troponin, acute myocardial infarction was considered. However, emergency coronary angiography unexpectedly revealed a large external mass compressed right coronary artery (RCA) resulting in severe proximal stenosis. Then, aorta computed tomography angiography (CTA) and urgent surgery confirmed that the ruptured right SOVA led to external compression of the right proximal coronary artery. Finally, ruptured right SOVA repair and RCA reconstruction were successfully performed, and the patient was discharged with no residual symptoms. Conclusions It is very important to be vigilant about the existence of SOVA. RSOVA should be suspected in a patient presenting with acute hemodynamic compromise, and echocardiography should be immediately performed. Moreover, it is very important to achieve dynamic monitoring by using cardiac color ultrasound. Definitive diagnosis often requires cardiac catheterization, and an aortogram should be performed unless endocarditis is suspected.


2004 ◽  
Vol 20 (6) ◽  
pp. 414-417
Author(s):  
Alexander Viduetsky ◽  
Robert Goodman ◽  
Afsine Emrani ◽  
Mohammad Gharavi ◽  
Ronald Grusd

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