Sinus of Valsalva aneurysm presenting as myocardial infarction during dobutamine stress test

Cathet Cardiovasc Diagn. 1996 Dec;39(4):400-2. doi: 10.1002/(SICI)1097-0304(199612)39:4<400::AID-CCD16>3.0.CO;2-G.

Abstract

We report a patient with an undiagnosed left sinus of Valsalva aneurysm who, during a dobutamine stress test, had myocardial injury and subsequent 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. This report heightens awareness of the possible effects of the pharmacologic stress test.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aortic Aneurysm / complications
  • Aortic Aneurysm / diagnosis*
  • Aortic Aneurysm / surgery
  • Cardiac Catheterization
  • Coronary Angiography
  • Diagnosis, Differential
  • Dobutamine*
  • Echocardiography / drug effects
  • Echocardiography / methods*
  • Electrocardiography / drug effects
  • Exercise Test / drug effects
  • Exercise Test / methods*
  • Female
  • Humans
  • Middle Aged
  • Myocardial Infarction / diagnosis*
  • Myocardial Infarction / etiology
  • Myocardial Infarction / surgery
  • Sinus of Valsalva* / diagnostic imaging
  • Sinus of Valsalva* / surgery

Substances

  • Dobutamine