Unruptured left coronary sinus of Valsalva aneurysm with bicuspid aortic valve stenosis and left ventricular inferior wall ischemia

P. Panayotov; V. Danov; S. Bazerbashi; R. Tarazi

doi:10.14748/ssm.v37i2.1730

Unruptured left coronary sinus of Valsalva aneurysm with bicuspid aortic valve stenosis and left ventricular inferior wall ischemia

P. Panayotov, V. Danov, S. Bazerbashi, R. Tarazi

Abstract

Left coronary sinus of Valsalva aneurysm is a rare condition, and combination with aortic valve stenosis is veryun common. The diagnosis by transthoracic echocardiography (TTE) could be difficult and can easily be interpreted as aortic root dilatation only. Even the computed tomography of the chest (CTscan) and transesophageal echocardiography (TEE) will not give a definite diagnosis unless we think of this pathology. We report a case of unruptured left coronary sinus of Valsalva aneurysm (ULSVA) in 39-year-old male patient combined with stenosis of bicus pidaortic valve and complete heart block. He has a permanent pacemaker (PPM) implanted and was operated successfully with aortic valve replacement (AVR) and direct closure of the ULSVA.

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DOI: http://dx.doi.org/10.14748/ssm.v37i2.1730

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