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Volume 23, Issue 4, Pages 458.e7-458.e9 (April 2010)


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An Unusual Case of Dissecting Aneurysms Involving Both Coronary Sinuses of Valsalva

Ravi S. Math, MBBS, MD, DMa, Anita Saxena, MBBS, MD, DMbCorresponding Author Informationemail address, Praloy Chakraborty, MBBS, MD, DMb, Srikrishna M. Reddy, MBBS, MS, MChc, A. Bisoi, MBBS, MS, MChc

published online 02 November 2009.

A 16-year-old boy with a progressive history of dyspnea and palpitations was diagnosed to have rupture of the right and left coronary sinuses on transthoracic echocardiography. The right coronary sinus had ruptured and dissected into the interventricular septum from its base up to the left ventricular apex and all around the lateral wall of the left ventricle up to the base of the papillary muscles. The left coronary sinus was also ruptured, and the rupture was contained by a false aneurysm that dissected into the roof of the left atrium from the aortomitral intervalvular fibrosa. The involvement of multiple coronary sinuses is extremely rare.

a Department of Cardiology, GB Pant Hospital, New Delhi, India

b Department of Cardiology, Cardiothoracic Sciences Center, All India Institute of Medical Sciences, New Delhi, India

c Cardiothoracic and Vascular Surgery, Cardiothoracic Sciences Center, All India Institute of Medical Sciences, New Delhi, India

Corresponding Author InformationReprint requests: Anita Saxena, MBBS, MD, DM, Suite No 29, Seventh Floor, Department of Cardiology, Cardiothoracic Sciences Center, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.

PII: S0894-7317(09)00852-9

doi:10.1016/j.echo.2009.09.009


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