AI Article Synopsis
- Sinus of Valsalva aneurysm (SVA) is a rare heart problem that can either be born with or develop later, and it often doesn’t show symptoms unless it’s causing other issues.
- A 64-year-old woman had trouble breathing and chest pain for three months, and tests showed she had two unruptured SVAs that were putting pressure on her heart.
- The woman had surgery to fix her heart, which helped her symptoms, showing that doctors should think about SVA when patients have chest pain.
Article Abstract
Background: Sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly which can be congenital or acquired. Patients with SVA are commonly asymptomatic when the occupying effect of SVA is insignificant, while ruptured SVA usually causes severe symptoms including heart failure and myocardial ischemia.
Case Presentation: We present an unusual case of a 64-year-old female manifesting with exertional dyspnea as well as angina pectoris for three months. Echocardiography and cardiac computed tomographic angiography confirmed unruptured left-coronary and non-coronary SVAs. The left anterior descending artery and left circumflex artery were stretched and compressed by the SVA which causing myocardial ischemia. The patient finally received aortic root replacement (Bentall procedure) and got symptom relieved.
Conclusions: Giant unruptured SVA originating from left coronary sinus is extremely rare. Our case highlights that giant SVA should be considered in cases with angina pectoris. Echocardiography and coronary computed tomographic angiography are useful and important for diagnosis. Surgery is highly recommended in patients with SVA.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11031946 | PMC |
| http://dx.doi.org/10.1186/s13019-024-02730-x | DOI Listing |
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