Ac. Ferreira et al., SINUS OF VALSALVA ANEURYSM PRESENTING AS MYOCARDIAL-INFARCTION DURINGDOBUTAMINE STRESS TEST, Catheterization and cardiovascular diagnosis, 39(4), 1996, pp. 400-402
We report a patient with an undiagnosed left sinus of Valsalva aneurys
m who, during a dobutamine stress test, had myocardial injury and subs
equent infarction. Cardiac catheterization revealed an expanding sinus
of valsalva aneurysm compressing the circumflex coronary artery. The
clinical manifestations of sinus of Valsalva aneurysm are discussed. T
his report heightens awareness of the possible effects of the pharmaco
logic stress test. (C) 1996 Wiley-Liss, Inc.