Unruptured aneurysm of the left sinus of Valsalva compressing the left main coronary artery - Successful percutaneous treatment

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 infr...

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Bibliographic Details
Main Authors: Hausinger Péter
Sasi Viktor
Volford G
Bitay Miklós
Bogáts Gábor
Thury Attila
Palkó András
Forster Tamás
Nemes Attila
Format: Article
Published: 2014
Series:HERZ 39 No. 6
Subjects:
doi:10.1007/s00059-013-3891-2

mtmt:2526939
Online Access:http://publicatio.bibl.u-szeged.hu/22622
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520 3 |a 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. © 2013 Urban & Vogel. 
650 4 |a Klinikai orvostan 
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700 0 1 |a Volford G  |e aut 
700 0 1 |a Bitay Miklós  |e aut 
700 0 1 |a Bogáts Gábor  |e aut 
700 0 1 |a Thury Attila  |e aut 
700 0 1 |a Palkó András  |e aut 
700 0 1 |a Forster Tamás  |e aut 
700 0 1 |a Nemes Attila  |e aut 
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