Delayed rupture of the right sinus of valsalva into the right atrium after percutaneous coronary intervention

Korean J Intern Med. 2009 Dec;24(4):388-92. doi: 10.3904/kjim.2009.24.4.388. Epub 2009 Nov 27.

Abstract

Rupture of the sinus of Valsalva is an extremely rare complication after percutaneous coronary intervention (PCI). Because it usually results from the retrograde extension of a dissection of the right coronary artery and may quickly spread to involve the entire aorta, it can cause life-threatening complications such as aortic dissection. If the dissection remains localized, it can resolve spontaneously in the first month. Our patient experienced a delayed rupture of the right sinus of Valsalva into the right atrium at approximately 3 months after PCI.

Keywords: Angioplasty; Complications; Percutaneous coronary intervention; Sinus of Valsalva.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angioplasty, Balloon, Coronary / adverse effects*
  • Aortic Rupture / etiology*
  • Echocardiography, Transesophageal
  • Heart Atria / pathology*
  • Humans
  • Male
  • Sinus of Valsalva*
  • Time Factors