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