Sudden onset congestive heart failure with a continuous murmur: ruptured sinus of Valsalva aneurysm complicated by anomalous origin of the left coronary artery

Arnold H Seto; Alan Hermer; Morton Kern

doi:10.1016/j.carrev.2007.08.008

Sudden onset congestive heart failure with a continuous murmur: ruptured sinus of Valsalva aneurysm complicated by anomalous origin of the left coronary artery

Cardiovasc Revasc Med. 2008 Jan-Mar;9(1):41-6. doi: 10.1016/j.carrev.2007.08.008.

Authors

Arnold H Seto¹, Alan Hermer, Morton Kern

Affiliation

¹ University of California, Irvine Medical Center, Orange, CA 92868, USA. aseto@uci.edu

PMID: 18206637
DOI: 10.1016/j.carrev.2007.08.008

Abstract

Ruptured sinus of Valsalva aneurysm is an unusual cause for congestive heart failure, and anomalous coronary arteries have rarely been found in association. A 47-year-old man developed sudden onset heart failure due to a ruptured noncoronary sinus of Valsalva fistula to the right atrium. Coronary angiography revealed an anomalous left coronary artery arising from the right coronary sinus, limiting percutaneous options for repair. We review the incidence, complications, and management of sinus of Valsalva aneurysms and anomalous left coronary arteries.

Publication types

Case Reports
Review

MeSH terms

Aortic Rupture / complications*
Aortic Rupture / pathology
Aortic Rupture / surgery
Cardiac Surgical Procedures
Coronary Angiography
Coronary Vessel Anomalies / complications*
Coronary Vessel Anomalies / pathology
Coronary Vessel Anomalies / surgery
Echocardiography, Doppler, Color
Heart Failure / etiology*
Heart Failure / pathology
Heart Failure / surgery
Heart Murmurs / etiology*
Heart Murmurs / pathology
Heart Murmurs / surgery
Humans
Male
Middle Aged
Pericardium / transplantation
Sinus of Valsalva* / pathology
Sinus of Valsalva* / surgery
Treatment Outcome