Ruptured aneurysm of non-coronary sinus of valsalva as a rare cause of chest pain

A 44-year-old male, smoker, with a history of arterial hypertension and 4 years after surgery for Cushing's disease due to pituitary adenoma was referred to hospital due to typical coronary chest pain. At admission, ECG was non-specific, a continuous murmur and blood pressure of 100/60 mmHg was detected. Laboratory assessment showed a normal d-dimer value, two-fold elevation of …