Kusuyama Takanori, Nakamura Yasuhiro, Yamagishi Hiroyuki, Shimada Kenei, Watanabe Hiroyuki, Muro Takashi, Yoshiyama Minoru, Teragaki Masakazu, Akioka Kaname, Takeuchi Kazuhide, Yoshikawa Junichi, Hattori Koji, Shibata Toshihiko, Suehiro Shigefumi
Departments of Internal Medicine and Cardiology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Circ J. 2002 Jan;66(1):107-8. doi: 10.1253/circj.66.107.
A 52-year-old Japanese man who had suffered from Behçet's disease since the age of 45 years was admitted to hospital for evaluation of syncope and heart murmur. Echocardiography and aortography revealed severe aortic regurgitation and cystic masses under the right coronary cusp and the left ventricular outflow tract, but no shunt jet. He was diagnosed with unruptured aneurysm of the sinus of Valsalva, and surgical closure of the orifice of the aneurysm was performed. The diameter of the orifice was 11 mm and the aneurysm was 15 mm in depth, and consisted of 2 chambers. Because the aortic regurgitation was reduced after patch closure of the orifice, aortic valve replacement was not performed. Unruptured aneurysm of the sinus of Valsalva is a rare clinical lesion, but patients with active inflammatory disease of the aorta, such as in Behçet's disease, should have periodic echocardiography for early detection of an aneurysm or valvular involvement, even if there are not any symptoms.
一名52岁的日本男性，自45岁起患有白塞病，因晕厥和心脏杂音入院评估。超声心动图和主动脉造影显示严重主动脉瓣反流，右冠状动脉瓣叶和左心室流出道下方有囊性肿块，但未见分流束。他被诊断为瓦氏窦未破裂动脉瘤，并对动脉瘤口进行了手术封闭。动脉瘤口直径为11毫米，深度为15毫米，由两个腔室组成。由于在修补动脉瘤口后主动脉瓣反流减轻，因此未进行主动脉瓣置换。瓦氏窦未破裂动脉瘤是一种罕见的临床病变，但患有主动脉活动性炎症疾病的患者，如白塞病患者，即使没有任何症状，也应定期进行超声心动图检查，以便早期发现动脉瘤或瓣膜受累情况。
