Sinus of Valsalva aneurysms involving both coronary ostia

Cathet Cardiovasc Diagn. 1993 Aug;29(4):304-8. doi: 10.1002/ccd.1810290414.


Sinus of Valsalva aneurysms are a rare cause of angina or myocardial infarction. We describe a patient with unstable angina and massive unruptured aneurysms of both coronary sinuses causing severe distortion of both coronary ostia, to our knowledge not previously reported. This unusual patient underwent aortic valve replacement, ascending aortic repair, and coronary artery bypass. At 11-year follow-up, she had developed severe mitral stenosis and prosthetic aortic valve stenosis. Review of the literature reveals 30 reported cases of Sinus of Valsalva aneurysm complicated by coronary insufficiency or infarction, involving either the left (20 cases) or the right coronary sinus (10 cases). We emphasize the poor outcome of these patients, especially if treated conservatively.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Angina Pectoris / diagnostic imaging*
  • Angina Pectoris / pathology
  • Angina Pectoris / surgery
  • Aortic Aneurysm / diagnostic imaging*
  • Aortic Aneurysm / pathology
  • Aortic Aneurysm / surgery
  • Aortic Valve / pathology
  • Aortic Valve / surgery
  • Aortography
  • Coronary Angiography
  • Female
  • Heart Valve Prosthesis
  • Hemodynamics / physiology
  • Humans
  • Mitral Valve Stenosis / diagnostic imaging
  • Mitral Valve Stenosis / pathology
  • Mitral Valve Stenosis / surgery
  • Rheumatic Heart Disease / diagnostic imaging
  • Rheumatic Heart Disease / pathology
  • Rheumatic Heart Disease / surgery
  • Sinus of Valsalva / diagnostic imaging*
  • Sinus of Valsalva / pathology
  • Sinus of Valsalva / surgery