Clinical Presentation of Acute Ruptured Sinus of Valsalva Aneurysm as a Mimic of Acute Coronary Syndrome

Autor:	Gaurav Jain, Kothandam Sivakumar, Zeeshan Ahmed Mumtaz
Jazyk:	angličtina
Rok vydání:	2022
Předmět:	device closure electrocardiogram myocardial ischemia noncoronary aortic sinus transesophageal echocardiogram unstable angina Diseases of the circulatory (Cardiovascular) system RC666-701
Zdroj:	Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging, Vol 6, Iss 2, Pp 151-154 (2022)
Druh dokumentu:	article
ISSN:	2543-1463 2543-1471
DOI:	10.4103/jiae.jiae_5_22
Popis:	Acute ruptured sinus of Valsalva aneurysm may present with chest pain and rapidly worsening dyspnea. A 41-year-old male without known atherosclerotic risk factors presented with ST-segment elevation in leads aVR and V1 on electrocardiogram and elevated cardiac troponins and was diagnosed as acute coronary syndrome. After antiplatelet loading, statin, and heparin, he was referred due to worsening hypotension and tachycardia. Clinical examination and echocardiogram was challenging in the acutely dyspneic restless patient. Transesophageal echocardiography delineated the ruptured aneurysm and assisted in its management. Importance of physical examination and echocardiography in the emergency room is highlighted as manifestations may be varied.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/69eca3bd67974df5bab90757bd72056c Zobrazit plný text záznamu View record in DOAJ