TRIPLE ANEVRYSME DU SINUS DE VALSALVA COMPLIQUE D'OBLITERATION CORONAIRE DROITE: A PROPOS D'UNE OBSERVATION ET REVUE DE LA LITTERATURE

Translated title of the contribution: Triple aneurysm of the aortic sinus complicated by right coronary artery occlusion. Case report and review of the literature

N. Chakfe, J. G. Kretz, P. Nicolini, B. Gasser, M. Zupan, C. Brechenmacher, F. Wolff

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

We report a case of aneurysm of all three aortic sinuses. The patient suffered from both cardiac failure and angina pectoris. The diagnosis, suggested by echocardiography, was confirmed by magnetic resonance imaging (MRI) which showed marqued dilatation of all three aortic sinuses. At operation, we observed dilatation of all three aortic sinuses, measuring 2 to 6 cm and partially thrombosed. We performed a Bentall operation with reimplantation of the left coronary artery ostium. The right coronary ostium was thrombosed and was revascularized by a saphenous vein bypass. Despite prolonged circulatory assistance and an intra-aortic balloon counterpulsation, cardiopulmonary bypass could not be stopped and the patient died. This is a new case of multiple aneurysms of the aortic sinuses and also a case of aortic sinus aneurysm (ASA) complicated by coronary insufficiency. This last complication has a poor prognosis, as demonstrated by a review of the 28 cases described in the literature. MRI was found to be important for the diagnosis of the ASA, in combination with echocardiography and angiography which can underestimate the aneurysm because of the frequently associated mural thrombus.

Translated title of the contributionTriple aneurysm of the aortic sinus complicated by right coronary artery occlusion. Case report and review of the literature
Original languageFrench
Pages (from-to)825-831
Number of pages7
JournalAnnales de Chirurgie
Volume48
Issue number9
StatePublished - 1994

Keywords

  • aneurysm
  • aortic sinus
  • coronary insufficiency

ASJC Scopus subject areas

  • Surgery

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