Case Report: Extrinsic Compression of the Left Main Coronary Artery by a Giant Sinus of Valsalva Aneurysm

Feifei Ning; Manyun Tang; Mengjie Wang; Joseph B Muhlestein; John D Day; Guoliang Li; Yang Yan

doi:10.3389/fcvm.2021.753154

Case Report: Extrinsic Compression of the Left Main Coronary Artery by a Giant Sinus of Valsalva Aneurysm

Front Cardiovasc Med. 2021 Nov 15:8:753154. doi: 10.3389/fcvm.2021.753154. eCollection 2021.

Authors

Feifei Ning¹, Manyun Tang¹, Mengjie Wang¹, Joseph B Muhlestein², John D Day³, Guoliang Li¹, Yang Yan⁴

Affiliations

¹ Department of Cardiovascular Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
² Department of Cardiology, Intermountain Heart Institute, Murray, UT, United States.
³ Department of Cardiology, St. Mark's Hospital, Salt Lake City, UT, United States.
⁴ Department of Cardiovascular Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.

Abstract

Sinus of Valsalva aneurysm (SoVA) is an uncommon clinical entity, which is present in roughly 0. 09% of the general population. The cause can either be acquired or congenital. Clinically the SoVA of unruptured status are rarely captured or even diagnosed due to atypical clinical presentations. Here, we present a rare case of exertional angina pectoris and recurrent syncope due to an extrinsically compressed left coronary artery by a giant SoVA in a 50-year-old female patient. This SoVA was successfully repaired by the surgical exclusion and the patient was still doing well after 2 years of follow-up.

Keywords: angina pectoris; case report; myocardial ischemia; sinus of Valsalva aneurysm; surgical treatment; syncope episodes.

Publication types

Case Reports