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Sinus of valsalva aneurysm presenting as myocardial infarction during dobutamine stress test

✍ Scribed by Ferreira, Alexandre C. ;de Marchena, Eduardo ;Mayor, Manuel ;Bolooki, Hooshang


Publisher
John Wiley and Sons
Year
1996
Tongue
English
Weight
285 KB
Volume
39
Category
Article
ISSN
0098-6569

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✦ Synopsis


We report a patient with an undiagnosed left sinus of Valsalva aneurysm who, during a dobutamine stress test, had myocardial injury and subsequent infarction. Cardiac catheterization revealed an expanding sinus of valsalva aneurysm compressing the circumflex coronary artery. The clinical manifestations of sinus of Valsalva aneurysm are discussed. This report heightens awareness of the possible effects of the pharmacologlc stress test.