Ruptured sinus of Valsalva aneurysm complicated by myocardial ischemia: pathogenetic mechanisms

Lior Sasson, Michael G. Katz, Tiberiu Ezri, Akiva Tamir, Yoseph Rozenman, Yoav Geva, Arie Schachner*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Significant left-to-right shunt in combination with severe aortic regurgitation (AR) accelerates the development of symptoms after rupture of congenital sinus of Valsalva aneurysm (SVA) in spite of intact coronary arteries. We depict a rare description of a situation where acute coronary syndrome was the first manifestation of such an occurrence. We believe that the progress of the myocardial ischemia after ruptured SVA depends on the severity of AR and the quantity of the left-to-right shunt. Prompt recognition and surgical repair are indicated to prevent complications of myocardial infarction.

Original languageEnglish
Pages (from-to)291-293
Number of pages3
JournalCardiovascular Pathology
Volume15
Issue number5
DOIs
StatePublished - Sep 2006
Externally publishedYes

Keywords

  • Aortic regurgitation
  • Congenital ruptured sinus of Valsalva
  • Left-to-right shunt
  • Myocardial ischemia

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