Giant unruptured sinus valsalva aneurysm: an unusual cause of typical angina

A 67-year-old man presented with dyspnoea and angina symptoms in a peripheral hospital. A CT scan of the chest was performed because of suspicion of pulmonary embolism. After application of the contrast agent, an anaphylactic shock occurred. After successful reanimation, a transoesophageal echocardiography displayed a large sinus Valsalva aneurysm (diameter 75 mm). Thereafter, the patient …