Davies G J, Watt J, Muir J R
Eur J Cardiol. 1975 Oct;3(3):213-8.
We report the case of a previously healthy 56-year-old male who suddenly developed severe chest pain and pulmonary edema. Cardiac catheterization and angiography revealed an aneurysm of the noncoronary sinus of Valsalva which had ruptured into the left atrium. This was confirmed at operation and it was noted that there were no signs of bacterial infection or rheumatic valve disease. We therefore concluded that the aneurysm was of congential origin. A successful repair of the defect was carried out and the patient made a satisfactory recovery. There are only 3 other reported cases of rupture of a congenital sinus of Valsalva aneurysm into the left atrium, and in only one case did the aneurysm originate from the noncoronary sinus and this patient had associated rheumatic aortic and mitral valve disease. We have received the classification of sinus of Valsalva aneurysms, the associated congenital and acquired defects and the presenting features of unruptured and ruptured aneurysms.
我们报告了一例病例，一名56岁既往健康的男性突然出现严重胸痛和肺水肿。心脏导管插入术和血管造影显示，瓦氏窦无冠状动脉窦的动脉瘤已破裂进入左心房。手术证实了这一点，并且注意到没有细菌感染或风湿性瓣膜病的迹象。因此，我们得出结论，该动脉瘤为先天性起源。成功修复了缺损，患者恢复良好。据报道，仅有另外3例先天性瓦氏窦动脉瘤破裂进入左心房的病例，其中只有1例动脉瘤起源于无冠状动脉窦，且该患者伴有风湿性主动脉瓣和二尖瓣疾病。我们已了解瓦氏窦动脉瘤的分类、相关的先天性和后天性缺损以及未破裂和破裂动脉瘤的表现特征。
