Nichtrupturiertes Aneurysma des linken Sinus Valsalva mit Beeinträchtigung des Hauptstamms der linken Koronararterie: Erfolgreiche perkutane Behandlung

Translated title of the contribution: Unruptured aneurysm of the left sinus of Valsalva compressing the left main coronary artery: Successful percutaneous treatment

P. Hausinger, V. Sasi, G. Volford, M. Bitay, G. Bogáts, A. Thury, A. Palkó, T. Forster, A. Nemes

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Aneurysm of the left sinus of Valsalva is an extremely rare entity. It may be asymptomatic and incidentally discovered, or may be symptomatic and manifest acutely with compression of adjacent cardiac structures. Encasement of the left main coronary artery by such an aneurysm is a recognized but infrequent complication that can lead to severe coronary insufficiency. Surgical decompression of the left main coronary artery is the standard treatment for such conditions. We describe a patient presenting with extrinsic compression of the left main coronary artery by a large unruptured aneurysm of the left sinus of Valsalva occurring 4 months after unsuccessful surgical repair. Since reoperation was considered high-risk for the patient, successful fractional flow reserve- and intravascular ultrasound-guided percutaneous treatment of the left main coronary artery was performed with implantation of one bare-metal stent.

Translated title of the contributionUnruptured aneurysm of the left sinus of Valsalva compressing the left main coronary artery: Successful percutaneous treatment
Original languageGerman
Pages (from-to)770-773
Number of pages4
JournalHerz
Volume39
Issue number6
DOIs
Publication statusPublished - Oct 9 2014

Keywords

  • Aneurysm
  • Compression
  • Left main coronary artery
  • Percutaneous coronary intervention
  • Valsalva

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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