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Chest, Vol 74, 312-314, Copyright © 1978 by American College of Chest Physicians

ARTICLES

Aneurysm of sinus of Valsalva: cause of dynamic coronary constriction after aortic valvular replacement and bacterial endocarditis

RL Feldman, HS Buchoff, CJ Pepine and CR Conti

A patient who had endocarditis on a prosthetic aortic valve and who had undergone two aortic valvular replacements developed classic angina pectoris. Cardiac catheterization revealed an aneurysm of the left sinus of Valsalva, which constricted a proximal segment of the left circumflex coronary artery during systole. This type of dynamic coronary arterial narrowing has not been previously described secondary to an aneurysm of a sinus of Valsalva and may be responsible for this patient's manifestations of ischemia.




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Copyright © 1978 by the American College of Chest Physicians.