Chest Pain after Aortic Valve Replacement: Rupture of Right Sinus of Valsalva Presenting as Myocardial Infarction

Cardiology. 2016;134(1):22-5. doi: 10.1159/000443266. Epub 2016 Feb 2.

Abstract

Background: A 47-year-old male presented with retrosternal chest pain, which had started 4 days previously and had become excruciating for the past 6 h. He had undergone mechanical aortic valve replacement surgery 4 months previously.

Investigation: Electrocardiography, echocardiography, computed tomography-angiography of the aorta.

Diagnosis: Rupture of the right sinus of Valsalva and right coronary artery dissection.

Management: The defect in the right coronary sinus was closed, and the dissection at the root of the right coronary artery was resected and the right coronary artery bypassed to the root of the aorta.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aortic Rupture* / diagnosis
  • Aortic Rupture* / etiology
  • Aortic Rupture* / physiopathology
  • Aortic Valve Insufficiency / surgery
  • Aortic Valve* / diagnostic imaging
  • Aortic Valve* / surgery
  • Chest Pain / diagnosis
  • Chest Pain / etiology
  • Computed Tomography Angiography / methods
  • Diagnosis, Differential
  • Diagnostic Errors / prevention & control*
  • Early Diagnosis
  • Echocardiography / methods
  • Electrocardiography / methods
  • Heart Valve Prosthesis / adverse effects
  • Heart Valve Prosthesis Implantation / adverse effects*
  • Heart Valve Prosthesis Implantation / instrumentation
  • Heart Valve Prosthesis Implantation / methods
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / diagnosis*
  • Postoperative Complications* / diagnosis
  • Postoperative Complications* / physiopathology
  • Sinus of Valsalva* / diagnostic imaging
  • Sinus of Valsalva* / pathology
  • Treatment Outcome