Abstract
A 54-year-old man was admitted to our emergency center with chest pain. Electrocardiography showed ST-elevation in leads II, III and aVf and complete A-V block. We suspected acute coronary syndrome (ACS) of the right coronary area and performed an additional workup. Chest computed tomography (CT) and coronary arteriography were performed, localized aortic dissection of the right Valsalva sinus and right coronary artery occlusion were revealed. We performed patch plasty of the right Valsalva sinus with aortic dissection and coronary artery byass grafting to the right coronary artery (#3) with a saphenous vein graft. Normal sinus rhythm was recovered immediately after the operation. He was discharged on the 21th postoperative day.
We report this rare case of localized aortic dissetion of right valsalva sinus with some discussion of the literature.
