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瓦氏窦瘤导致左冠状动脉主干阻塞

Aneurysm of the sinus of Valsalva producing obstruction of the left main coronary artery.

作者信息

Garcia-Rinaldi R, Von Koch L, Howell J F

出版信息

J Thorac Cardiovasc Surg. 1976 Jul;72(1):123-6.

PMID:1084447
Abstract

An aneurysm of the left sinus of Valsalva compressed the left main coronary artery and the patient experienced anginal pain. Surgical correction consisted of obliteration of the orifice of the aneurysm, aortic valve replacement, and a saphenous vein bypass from the ascending aorta to the distal left anterior descending coronary artery. Postoperative studies revealed excellent function of the prosthetic valve, no recurrence of the aneurysm and retrograde filling of the left anterior descending and circumflex coronary arteries. Three years after the operation, the patient is asymptomatic.

摘要

瓦氏窦瘤压迫左冠状动脉主干,患者出现心绞痛。手术矫正包括封堵瘤体开口、置换主动脉瓣以及从升主动脉至左前降支冠状动脉远端行大隐静脉搭桥术。术后检查显示人工瓣膜功能良好,瘤体无复发,左前降支和左旋支冠状动脉逆行充盈良好。术后三年,患者无症状。

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Aneurysm of the sinus of Valsalva producing obstruction of the left main coronary artery.瓦氏窦瘤导致左冠状动脉主干阻塞
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引用本文的文献

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The Heart's Secret Bridge: Ruptured Sinus of Valsalva Aneurysm Masquerading as a Gerbode Defect.心脏的隐秘桥梁:伪装成Gerbode缺损的瓦氏窦瘤破裂
Heart Views. 2024 Jul-Sep;25(3):174-178. doi: 10.4103/heartviews.heartviews_48_24. Epub 2025 Jan 4.
2
Sinus of Valsalva Aneurysm: An Atypical Etiology of Recurrent Syncope.瓦氏窦瘤:复发性晕厥的一种非典型病因。
Cureus. 2023 Aug 11;15(8):e43325. doi: 10.7759/cureus.43325. eCollection 2023 Aug.
3
Sinus of Valsalva aneurysm presenting with chest pain.以胸痛为表现的瓦氏窦瘤
Proc (Bayl Univ Med Cent). 2020 Dec 14;34(2):283-285. doi: 10.1080/08998280.2020.1855620.
4
Sinus of Valsalva Aneurysms: A Review with Perioperative Considerations.瓦氏窦动脉瘤:综述及围手术期注意事项。
J Cardiothorac Vasc Anesth. 2021 Nov;35(11):3340-3349. doi: 10.1053/j.jvca.2020.12.016. Epub 2020 Dec 14.
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Sinus of valsalva aneurysms: review of the literature and an update on management.主动脉窦瘤:文献综述与治疗进展
Clin Cardiol. 2015 Mar;38(3):185-9. doi: 10.1002/clc.22359. Epub 2015 Mar 10.
6
Differential diagnosis of non-atherosclerotic left main coronary artery stenosis.非动脉粥样硬化性左主干冠状动脉狭窄的鉴别诊断
BMJ Case Rep. 2009;2009:bcr0820080776. doi: 10.1136/bcr.08.2008.0776. Epub 2009 Mar 2.
7
Unruptured aneurysm of the left sinus of valsalva causing coronary insufficiency: case report and review of the literature.左主动脉窦未破裂动脉瘤导致冠状动脉供血不足:病例报告及文献复习
Tex Heart Inst J. 2002;29(1):40-4.
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Aneurysm of the left sinus of Valsalva causing aortic, mitral regurgitation and myocardial ischemia.瓦氏窦瘤导致主动脉瓣反流、二尖瓣反流及心肌缺血。 (注:这里的“瓦氏窦瘤”是医学术语,一般指的是主动脉窦瘤,Valsalva窦是主动脉根部的三个膨出结构,分别为左、右、后窦,这里明确是左窦瘤。) (这里括号内内容是为了更好理解添加的注释,根据要求不应添加,仅为解释翻译内容,原文是Aneurysm of the left sinus of Valsalva causing aortic, mitral regurgitation and myocardial ischemia.)
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Ruptured sinus of valsalva aneurysm in children: report of two cases and literature review.儿童瓦氏窦瘤破裂:两例报告及文献复习
Cardiovasc Intervent Radiol. 1984;7(2):78-83. doi: 10.1007/BF02552684.