Ahmed N Mohammad1, Oghenesuvwe Eboh2, Muna Mian2, Rony L Shammas3. 1. Department of Internal Medicine, East Carolina University, Greenville, NC, 27834, USA. ahmed.nabil.mohammad@gmail.com. 2. Department of Internal Medicine, East Carolina University, Greenville, NC, 27834, USA. 3. Vidant Heart and vascular Care, Vidant Medical Center, Greenville, NC, 27834, USA.
Abstract
BACKGROUND: We report a rare case of a patient who presented with chest pain and was found to have a constellation of rare cardiac anomalies. CASE PRESENTATION: A 67-year-old patient with no past medical history presented with chest pain. He had mild troponin elevation, but no ischemic changes on ECG. He underwent a CT coronary angiogram for further evaluation. He was found to have a type 0 bicuspid aortic valve, large left sinus of Valsalva aneurysm and type R-III single coronary artery. These findings were confirmed with transesophageal echocardiogram and coronary angiogram. He underwent a successful repair of his aortic root aneurysm with a synthetic patch. CONCLUSIONS: The combination of type R-III single coronary artery, bicuspid aortic valve, and left sinus of Valsalva aneurysm congenital anomalies in one individual is extremely rare and marks our case unique. Given the size of his Sinus of Valsalva aneurysm, the patient underwent surgical repair of his aneurysm and was asymptomatic when seen in follow-up.
BACKGROUND: We report a rare case of a patient who presented with chest pain and was found to have a constellation of rare cardiac anomalies. CASE PRESENTATION: A 67-year-old patient with no past medical history presented with chest pain. He had mild troponin elevation, but no ischemic changes on ECG. He underwent a CT coronary angiogram for further evaluation. He was found to have a type 0 bicuspid aortic valve, large left sinus of Valsalva aneurysm and type R-III single coronary artery. These findings were confirmed with transesophageal echocardiogram and coronary angiogram. He underwent a successful repair of his aortic root aneurysm with a synthetic patch. CONCLUSIONS: The combination of type R-III single coronary artery, bicuspid aortic valve, and left sinus of Valsalva aneurysm congenital anomalies in one individual is extremely rare and marks our case unique. Given the size of his Sinus of Valsalva aneurysm, the patient underwent surgical repair of his aneurysm and was asymptomatic when seen in follow-up.
Entities:
Keywords:
Bicuspid aortic valve; Congenital heart defects; Single coronary artery; Sinus of Valsalva aneurysm
Authors: John M Troupis; Arthur Nasis; Sundeep Pasricha; Mihir Patel; Andris Harald Ellims; Sujith Seneviratne Journal: J Med Imaging Radiat Oncol Date: 2012-10-29 Impact factor: 1.735