Yonsei Med J.  2007 Oct;48(5):883-885. 10.3349/ymj.2007.48.5.883.

Acute Myocardial Infarction Due to an Unruptured Sinus of Valsalva Aneurysm in a Patient with Behcet's Syndrome

• Lee S
• Lee CY
• Yoo KJ

• KMID: 1122631
• DOI: http://doi.org/10.3349/ymj.2007.48.5.883

Abstract

This report describes the case of a 45-year-old Korean female who had suffered from Behcet's syndrome for two years with a huge, unruptured aneurysm originating from the left coronary sinus. The aneurysm had caused myocardial and aortic insufficiency by compressing the proximal left anterior descending coronary artery. The orifice of the aneurysm was at the left coronary sinus, about 5mm from the left main coronary ostium, and it was filled with organized thrombi. Surgical repair was performed by closing the entrance of the aneurysm with a Dacron patch and by implementing aortic valve repair and coronary artery bypass grafting. The patient's coronary flow was restored postoperatively, and all anginal symptoms disappeared.

Keyword

Aneurysm; coronary sinus; myocardial infarction

MeSH Terms

Aortic Aneurysm/*complications/radiography/surgery
Behcet Syndrome/*complications
Coronary Artery Bypass
Female
Humans
Middle Aged
Myocardial Infarction/*etiology
*Sinus of Valsalva/surgery
Tomography, X-Ray Computed

Figure

• 

  Fig. 1 (A) Preoperative MD-CT showed a dilated left SVA with a huge aneurysm (An) compressing the left coronary artery. (B) Postoperative MD-CT showed patent left internal mammary (LIMA) and radial artery (RA) bypass grafts, with a regressed aneurysm.

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  Fig. 2 (A) The orifice of the aneurysm (Or) was observed at the left SVA, originating about 5mm from the left main coronary ostium, and was filled with organized mural thrombi. (B) The orifice of the aneurysm was closed with a patch (P), and then aortic valvuloplasty was performed.

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