Large aneurysm of left coronary sinus of Valsalva presenting with effort-related ventricular fibrillation

Interact Cardiovasc Thorac Surg. 2013 Feb;16(2):217-8. doi: 10.1093/icvts/ivs429. Epub 2012 Nov 8.


Sinus of Valsalva aneurysms are very rare and are often asymptomatic. Clinical manifestations depend on associated complications, most commonly rupture or dissection. We describe the unusual case of a 46-year old presenting with exercise-induced ventricular fibrillation due to extrinsic compression of the left coronary artery. We also describe the surgical correction by valve-sparing aortic root replacement.

Publication types

  • Case Reports

MeSH terms

  • Aortic Aneurysm / complications*
  • Aortic Aneurysm / diagnosis
  • Aortic Aneurysm / surgery
  • Blood Vessel Prosthesis Implantation
  • Coronary Angiography / methods
  • Humans
  • Male
  • Middle Aged
  • Physical Exertion*
  • Running
  • Sinus of Valsalva* / diagnostic imaging
  • Sinus of Valsalva* / surgery
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Ventricular Fibrillation / diagnosis
  • Ventricular Fibrillation / etiology*