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

Respiratory Medicine Case Reports (Jan 2017)

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

Affiliations

Wolfgang Hohenforst-Schmidt: Sana Clinic Group Franken, Department of Cardiology/Pulmonology/Intensive Care/Nephrology, “Hof” Clinics, University of Erlangen, Hof, Germany
Konstantinos Grapatsas: Department of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, Academic Educational Hospital, Heidelberg University and Mainz University, Kaiserslautern, Germany
Paul Zarogoulidis: Pulmonary Department-Oncology Unit, “G. Papanikolaou” General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
Vasileios Leivaditis: Department of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, Academic Educational Hospital, Heidelberg University and Mainz University, Kaiserslautern, Germany
Christoforos Kotoulas: Department of Cardiac Surgery, 401 General Military Hospital of Athens, Athens, Greece
Periclis Tomos: Department of Thoracic Surgery, “Attikon” University Hospital of Athens, Athens University Medical School, Athens, Greece
Naim Benhassen: Medical Clinic I, ’’Fuerth’’ Hospital, University of Erlangen, Fuerth, Germany
Zoi Tsilogianni: First Department of Internal Medicine, 401 General Military Hospital of Athens, Athens, Greece
Efstratios Koletsis: Department of Cardiothoracic Surgery, Medical School, University of Patras, Patras, Greece
Erich Haussmann: Department of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, Academic Educational Hospital, Heidelberg University and Mainz University, Kaiserslautern, Germany
Rainer Haussmann: Department of Anestisiology, Emergency Care Medicine and Intensive Care Medicine, Westpfalz Klinikum, Academic Educational Hospital, Heidelberg University and Mainz University, Kaiserslautern, Germany
Haidong Huang: Department of Respiratory and Critical Care Medicine, Changhai Hospital, The Second Military Medical University, Shanghai, China
Christoforos Kosmidis: Surgery Department, Interbalkan European Medical Center, Thessaloniki, Greece
Bora Kosan: Department of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, Academic Educational Hospital, Heidelberg University and Mainz University, Kaiserslautern, Germany
Manfred Dahm: Department of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, Academic Educational Hospital, Heidelberg University and Mainz University, Kaiserslautern, Germany
Anil Sinha: Sana Clinic Group Franken, Department of Cardiology/Pulmonology/Intensive Care/Nephrology, “Hof” Clinics, University of Erlangen, Hof, Germany

DOI: https://doi.org/10.1016/j.rmcr.2017.04.011
Journal volume & issue: Vol. 21, no. C
pp. 105 – 107

Abstract

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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.

Published in Respiratory Medicine Case Reports

ISSN: 2213-0071 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the respiratory system
Website: http://www.journals.elsevier.com/respiratory-medicine-case-reports/

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