A rare case of unruptured aneurysm of left coronary sinus of Valsalva accompanied with patent foramen ovale and atrial fibrillation detected after cardiac etiology stroke

Wolfgang Hohenforst-Schmidt; Konstantinos Grapatsas; Paul Zarogoulidis; Vasileios Leivaditis; Christoforos Kotoulas; Periclis Tomos; Naim Benhassen; Zoi Tsilogianni; Efstratios Koletsis; Erich Haussmann; Rainer Haussmann; Haidong Huang; Christoforos Kosmidis; Bora Kosan; Manfred Dahm; Anil Sinha

doi:10.1016/j.rmcr.2017.04.011

A rare case of unruptured aneurysm of left coronary sinus of Valsalva accompanied with patent foramen ovale and atrial fibrillation detected after cardiac etiology stroke

Respir Med Case Rep. 2017 Apr 12:21:105-107. doi: 10.1016/j.rmcr.2017.04.011. eCollection 2017.

Authors

Wolfgang Hohenforst-Schmidt¹, Konstantinos Grapatsas², Paul Zarogoulidis³, Vasileios Leivaditis², Christoforos Kotoulas⁴, Periclis Tomos⁵, Naim Benhassen⁶, Zoi Tsilogianni⁷, Efstratios Koletsis⁸, Erich Haussmann², Rainer Haussmann⁹, Haidong Huang¹⁰, Christoforos Kosmidis¹¹, Bora Kosan², Manfred Dahm², Anil Sinha¹

Affiliations

¹ Sana Clinic Group Franken, Department of Cardiology/Pulmonology/Intensive Care/Nephrology, "Hof" Clinics, University of Erlangen, Hof, Germany.
² Department of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, Academic Educational Hospital, Heidelberg University and Mainz University, Kaiserslautern, Germany.
³ Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
⁴ Department of Cardiac Surgery, 401 General Military Hospital of Athens, Athens, Greece.
⁵ Department of Thoracic Surgery, "Attikon" University Hospital of Athens, Athens University Medical School, Athens, Greece.
⁶ Medical Clinic I, ''Fuerth'' Hospital, University of Erlangen, Fuerth, Germany.
⁷ First Department of Internal Medicine, 401 General Military Hospital of Athens, Athens, Greece.
⁸ Department of Cardiothoracic Surgery, Medical School, University of Patras, Patras, Greece.
⁹ Department of Anestisiology, Emergency Care Medicine and Intensive Care Medicine, Westpfalz Klinikum, Academic Educational Hospital, Heidelberg University and Mainz University, Kaiserslautern, Germany.
¹⁰ Department of Respiratory and Critical Care Medicine, Changhai Hospital, The Second Military Medical University, Shanghai, China.
¹¹ Surgery Department, Interbalkan European Medical Center, Thessaloniki, Greece.

Abstract

We present a rare case of a 74 year old female with unruptured aneurysm of the left coronary sinus of Valsalva accompanied with patent foramen ovale and atrial fibrillation. This rare combination was detected during diagnostics for a cardiac etiology stroke. The left coronary sinus of Valsalva was reconstructed using an autologous pericardial patch, the left atrial appendage closed, left atrial ablation performed with cooled radiofrequency and the patent foramen ovale sutured directly. The patient was dismissed on the 12th postoperative day after having an uncomplicated postoperative course.

Keywords: Aortic aneurysm; Atrial appendage thrombus; Atrial fibrillation; Cardiac etiology stroke; Patent foramen ovale; Sinus of Valsalva aneurysm.

Publication types

Case Reports