The Journal of Thoracic and Cardiovascular Surgery, Vol 78, 110-115, Copyright © 1979 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Ventricular tachycardia secondary to aneurysm of sinus of Valsalva
GS Raizes, HC Smith, RE Vlietstra and FJ Puga
A patient with unruptured aneurysm of the sinus of Valsalva presented
because of ventricular tachycardia refractory to medical therapy. The
underlying problem was not suspected until cardiac catheterization. Once
the aneurysm was repaired, the tachycardia was abolished; the patient
required no antiarrhythmic drugs. Two points are emphasized: First, cardiac
catheterization is often indicated early in cases of ventricular
tachycardia without obvious cause. Second, recurrent ventricular
tachycardia is a hitherto unreported but important complication of sinus of
Valsalva aneurysm.