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Giant left sinus of Valsalva aneurysm as a rare cause of acute myocardial infarction: a case report.


ABSTRACT:

Background

Sinus of Valsalva aneurysm (SVA) is a rare but potentially life-threatening condition. Acute myocardial infarction (MI) is a rare consequence of aneurysmal dilatation of one or more sinuses of Valsalva. We present a case of an unruptured and partially thrombosed left SVA, presenting as anterior MI and congestive heart failure.

Case summary

A 55-year-old gentleman was admitted with pulmonary oedema and a late presenting ST-elevation MI with Q wave. After initial treatment on furosemide infusion, a coronary angiography showed significant stenosis in both his left main stem (LMS) and left anterior descending artery (LAD). This is likely a result of external compression, potentially from the enlarged left sinus of Valsalva. A subsequent transthoracic echocardiogram an

SUBMITTER: Maqableh GM 

PROVIDER: S-EPMC10849118 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature