Chest Pain after Aortic Valve Replacement: Rupture of Right Sinus of Valsalva Presenting as Myocardial Infarction

Cardiology ◽  
2016 ◽  
Vol 134 (1) ◽  
pp. 22-25 ◽  
Author(s):  
Jianqing She ◽  
Zhan Hu ◽  
Yangyang Deng ◽  
Fuqiang Liu ◽  
Zuyi Yuan
Keyword(s):  
Chest Pain ◽  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Right Coronary Artery ◽  
Artery Dissection ◽  
Sinus Of Valsalva ◽  
Coronary Artery Dissection ◽  
The Right

Background: A 47-year-old male presented with retrosternal chest pain, which had started 4 days previously and had become excruciating for the past 6 h. He had undergone mechanical aortic valve replacement surgery 4 months previously. Investigation: Electrocardiography, echocardiography, computed tomography-angiography of the aorta. Diagnosis: Rupture of the right sinus of Valsalva and right coronary artery dissection. Management: The defect in the right coronary sinus was closed, and the dissection at the root of the right coronary artery was resected and the right coronary artery bypassed to the root of the aorta.

scholarly journals Aortic Valve Replacement in a Case of Anomalous Origin of the Right Coronary Artery

2011 ◽  
Vol 40 (1) ◽  
pp. 10-13 ◽  
Author(s):  
Nozomi Kojima ◽  
Satoshi Ito ◽  
Arata Muraoka ◽  
Hiroaki Konishi ◽  
Yoshio Misawa
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Right Coronary Artery ◽  
Anomalous Origin ◽  
The Right

Left Main Coronary Artery Dissection During Aortic Valve Replacement

2017 ◽  
Vol 124 (6) ◽  
pp. 1789-1791 ◽  
Author(s):  
Kenta Nakao ◽  
Toshiyuki Sawai ◽  
Junko Nakahira ◽  
Ayako Hamakawa ◽  
Hisanari Ishii ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Left Main Coronary Artery ◽  
Artery Dissection ◽  
Left Main ◽  
Coronary Artery Dissection

Congenital Quadricuspid Aortic Valve Associated with Severe Regurgitation

2008 ◽  
Vol 16 (5) ◽  
pp. e40-e41 ◽  
Author(s):  
Yujiro Kawanishi ◽  
Hiroshi Tanaka ◽  
Keitaro Nakagiri ◽  
Teruo Yamashita ◽  
Kenji Okada ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Aortic Regurgitation ◽  
Valve Replacement ◽  
Right Coronary Artery ◽  
Quadricuspid Aortic Valve ◽  
Severe Aortic Regurgitation ◽  
The Right

A 56-year-old man was referred because of severe aortic regurgitation. He had a quadricuspid aortic valve with a small accessory cusp between the right coronary and noncoronary cusps. The ostium of the right coronary artery was deviated toward the accessory cusp commissure. Aortic valve replacement was performed with a bioprosthesis. The resected cusps showed fibrotic thickening with calcification and fenestration.

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