An unusual cause of acute chest pain: rupture of the noncoronary sinus of Valsalva into the right atrium

Abstract Ruptured sinus of Valsalva aneurysm is a rare cardiac anomaly and it can be acquired or congenital. Untreated, there is a substantial risk of complications, expecially if rupture occurs with a subsequent intracardiac shunt and rapidly worsening cardiac insufficiency. Herein we describe a pe...

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Bibliographic Details
Published in:The American journal of emergency medicine 2016-10, Vol.34 (10), p.2052.e1-2052.e3
Main Authors: Sanna, Giuseppe D., MD, Talanas, Giuseppe, MD, Denurra, Cristiana, MD, Ferrandu, Paolo, MD, Bullitta, Luca, MD, Terrosu, Pierfranco, MD
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Adult
Aneurysms
Aortic Rupture - diagnosis
Aortic Rupture - pathology
Cardiac arrhythmia
Chest Pain - etiology
Classification
Congenital diseases
Coronary Angiography
Disease
Echocardiography
Electrocardiography
Emergency
Emergency medical care
Emergency Service, Hospital
Family medical history
Fatal Outcome
Heart Atria - pathology
Humans
Male
Medical imaging
Medical prognosis
Pain
Sinus of Valsalva
Sinuses
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Summary:Abstract Ruptured sinus of Valsalva aneurysm is a rare cardiac anomaly and it can be acquired or congenital. Untreated, there is a substantial risk of complications, expecially if rupture occurs with a subsequent intracardiac shunt and rapidly worsening cardiac insufficiency. Herein we describe a peculiar case of a ruptured aneurysm of the noncoronary sinus of Valsalva into the right atrium in a 44-year-old man with acute chest pain.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2016.03.014