Rp. Caputo et al., Myocardial ischemia resulting from spontaneous dissection in a patient with massive bilateral sinus of valsalva aneurysms, CATHET C IN, 47(2), 1999, pp. 194-198
We describe a patient with large sinus of Valsalva aneurysms involving both
the left and right coronary sinuses. Spontaneous dissection of the left co
ronary artery occurred, causing unstable angina, a complication heretofore
not associated with this disease. Successful surgical reconstruction of the
aortic root, aortic valve replacement, and coronary bypass grafting were p
erformed. Pathology revealed cystic medial necrosis. Cathet. Cardiovasc. In
tervent. 47:194-198, 1999. (C) 1999 Wiley-Liss, Inc.