Coronary arterial compression caused by an aneurysm of the sinus of Valsalva with aortic prosthetic valve endocarditis

Myocardial ischemia caused by coronary arterial compression by an aneurysm of the sinus of Valsalva is a particularly unusual complication. We describe a patient with aortic prosthetic valve endocarditis complicated with an aneurysm of the sinus of Valsalva. An 82-year-old woman was admitted to our...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2012-12, Vol.60 (12), p.834-836
Main Authors: Uchimuro, Tomoya, Fukui, Toshihiro, Nakamichi, Tsukasa, Mihara, Wahei, Takanashi, Shuichirou
Format: Article
Language:English
Subjects:
Abscesses
Aged, 80 and over
Antibiotics
Aortic Aneurysm - complications
Aortic Aneurysm - surgery
Aortic Valve - surgery
Atherosclerosis
Blood
Cardiac Surgery
Cardiology
Case Report
Coronary Stenosis - etiology
Coronary vessels
Debridement
Ejection fraction
Electrocardiography
Endocarditis
Endocarditis, Bacterial - complications
Female
Heart attacks
Heart Valve Prosthesis
Histology
Humans
Infections
Ischemia
Medicine
Medicine & Public Health
Prostheses
Pseudoaneurysm
Pulmonary arteries
Sinus of Valsalva
Sinuses
Streptococcus intermedius
Surgical Oncology
Thoracic Surgery
Tomography
Veins & arteries
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Description
Summary:Myocardial ischemia caused by coronary arterial compression by an aneurysm of the sinus of Valsalva is a particularly unusual complication. We describe a patient with aortic prosthetic valve endocarditis complicated with an aneurysm of the sinus of Valsalva. An 82-year-old woman was admitted to our hospital with a high fever and chest discomfort. She had undergone aortic valve replacement 3 years earlier. Computed tomography showed an aneurysm originating from the left and right aortic sinus that was compressing the proximal left anterior descending coronary artery. The aortic root was successfully replaced and antibiotic treatment was continued for 6 weeks after surgery.
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-012-0095-2