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KMID : 0390620130210010023
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Journal of Cardiovascular Ultrasound
2013 Volume.21 No. 1 p.23 ~ p.25
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Ruptured Right Sinus of Valsalva Aneurysm to the Right Atrium Mimicking Acute Myocardial Infarction
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Lee Jae-Hoon
Ryu Sung-Kee
Lee Ji-Hyun
Park Ji-Young
Choi Jae-Woong
Park Man-Sil
Lim Oh-Kyung
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Abstract
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We present a rare case involving a ruptured sinus of Valsalva aneurysm (SVA) and acute myocardial infarction in a 39-year-old male patient. Coronary angiography showed normal findings; however, the patient showed remarkably elevated levels of cardiac enzymes and decreased left ventricular function with apical akinesia on transthoracic echocardiography. Transesophageal echocardiography revealed shunt flow from the SVA to the right atrium without significant aortic regurgitation. Preoperative cardiac arrest was managed by cardiopulmonary resuscitation, and surgical repair was performed by closing the entrance of the aneurysm. However, the compromised hemodynamic status was not reversed by surgery.
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KEYWORD
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Sinus of Valsalva , Myocardial infarction , Multiple organ failure
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