RESUMEN
Aortic sinus of Valsalva aneurysm is a rare congenital or acquired anomaly with a potential for rupture into adjacent cardiac chambers. Ruptured aneurysm of the sinus of Valsalva leads to volume overload of the receiving chamber and should be repaired as soon as the diagnosis is made. Here, we present a young patient with history of chest trauma leading to discovery of an asymptomatic ruptured sinus of Valsalva aneurysm.
Asunto(s)
Aneurisma Roto , Rotura de la Aorta , Cardiopatías Congénitas , Seno Aórtico , Traumatismos Torácicos , Heridas Penetrantes , Rotura de la Aorta/complicaciones , Rotura de la Aorta/diagnóstico por imagen , Humanos , Seno Aórtico/diagnóstico por imagen , Seno Aórtico/cirugía , Traumatismos Torácicos/complicaciones , Traumatismos Torácicos/diagnóstico por imagenRESUMEN
BACKGROUND: Coronary artery spasm (CAS) is defined as a reversible, sudden epicardial coronary artery stenosis that causes vessel occlusion or near occlusion. CASE REPORT: In this article, we present a clinical case of CAS in a 48-year-old woman undergoing elective aortic valve replacement surgery for aortic stenosis. On the 3rd post-operative day, the patient suffered from chest pain and dyspnea. Emergent coronary angiography demonstrated a significant spasm of the ostium portion of the right coronary artery. CONCLUSION: This case shows that delayed coronary spasm should be considered as a cause of hemodynamic instability after valvular surgery.