발살바동을 침범한 상행대동맥류로 인해 발생한 급성심근경색증 사망: 부검 증례
Sudden Cardiac Death from Acute Myocardial Infarction Caused by Unruptured Ascending Aortic Aneurysm Involving the Sinus of Valsalva: An Autopsy Case
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초록
Ascending aortic aneurysm of the thorax is a condition characterized by an increase in the diameter of the ascending aorta between the aortic valve and the brachiocephalic artery. Most patients with ascending aortic aneurysm are asymptomatic and do not require treatment; the rates of dissection, rupture, and mortality are also low. In this report, we describe the autopsy findings in a case of sudden death due to acute myocardial infarction secondary to the previously asymptomatic, unruptured, and undissected aortic aneurysm of the thoracic ascending aorta extending to the sinus of Valsalva. The findings in this case emphasize the importance of preventive management of asymptomatic ascending aortic aneurysms, and possible mechanisms of sudden cardiac death in patients with uncomplicated ascending aortic aneurysm is also discussed.
Abstract
Ascending aortic aneurysm of the thorax is a condition characterized by an increase in the diameter of the ascending aorta between the aortic valve and the brachiocephalic artery. Most patients with ascending aortic aneurysm are asymptomatic and do not require treatment; the rates of dissection, rupture, and mortality are also low. In this report, we describe the autopsy findings in a case of sudden death due to acute myocardial infarction secondary to the previously asymptomatic, unruptured, and undissected aortic aneurysm of the thoracic ascending aorta extending to the sinus of Valsalva. The findings in this case emphasize the importance of preventive management of asymptomatic ascending aortic aneurysms, and possible mechanisms of sudden cardiac death in patients with uncomplicated ascending aortic aneurysm is also discussed.
참고문헌 (8)
- Erbel R, "2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult, The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC)", Eur Heart J, 35, pp.2873~2926 (2014)
- Isselbacher EM, "2022 ACC", AHA guideline for the diagnosis and management of aortic disease : a report of the American Heart Association, J Am Coll Cardiol, pp.2022, 80[DOI]
- Guo MH, "Association of mortality and acute aortic events with ascending aortic aneurysm : a systematic review and meta-analysis", JAMA Netw Open, 1, pp.e181281~ (2018)
- Hoshika Y, "A case of acute myocardial infarction due to coronary artery compression by mediastinal hematoma associated with thoracic aortic aneurysm rupture", J Cardiol Cases, 25, pp.173~176 (2022)
- Chau K, "Ascending thoracic aortic aneurysms protect against myocardial infarctions", Int J Angiol, 23, pp.177~182 (2014)
- Regueiro Abel M, "Sinus of Valsalva aneurysm as a cause of acute myocardial infarction", Rev Esp Cardiol, 55, pp.77~79 (2002)
- Ma L, "Case report : acute ST-elevation myocardial infarction and cardiogenic shock caused by a giant right sinus of Valsalva aneurysm and right coronary artery compression", Front Cardiovasc Med, 9, pp.1013044~ (2022)
- Hiyamuta K, "Aneurysm of the left aortic sinus causing acute myocardial infarction", Circulation, 67, pp.1151~1154 (1983)