Korean J Intern Med.  2009 Dec;24(4):388-392. 10.3904/kjim.2009.24.4.388.

Delayed Rupture of the Right Sinus of Valsalva into the Right Atrium after Percutaneous Coronary Intervention

Affiliations
  • 1Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. dslmd@kumc.or.kr

Abstract

Rupture of the sinus of Valsalva is an extremely rare complication after percutaneous coronary intervention (PCI). Because it usually results from the retrograde extension of a dissection of the right coronary artery and may quickly spread to involve the entire aorta, it can cause life-threatening complications such as aortic dissection. If the dissection remains localized, it can resolve spontaneously in the first month. Our patient experienced a delayed rupture of the right sinus of Valsalva into the right atrium at approximately 3 months after PCI.

Keyword

Sinus of Valsalva; Angioplasty; Percutaneous coronary intervention; Complications

MeSH Terms

Aged
Angioplasty, Transluminal, Percutaneous Coronary/*adverse effects
Aortic Rupture/*etiology
Echocardiography, Transesophageal
Heart Atria/*pathology
Humans
Male
*Sinus of Valsalva
Time Factors
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