[与主动脉瓣关闭不全相关的瓦尔萨尔瓦非冠状动脉窦瘤：一例报告]

[Aneurysm of the noncoronary sinus of valsalva associated with aortic regurgitation: report of a case].

作者信息

Sasaki H, Tsuchiya K, Ogata K, Hibino N

机构信息

Department of Cardiovascular Surgery, Yamanashi Prefectural Central Hospital, Kofu, Japan.

出版信息

Kyobu Geka. 2002 Jun;55(6):509-11.

PMID:12058466

Abstract

A 39-year-old man has complained of palpitation and dyspnea since 8 months ago. With aortic regurgitation pointed out in another hospital, he was referred to our hospital for examination. Preoperative ultracardiography (UCG) showed a dilated noncoronary sinus of Valsalva and aortic regurgitation. A daughter aneurysm was found by aortography. There were 2 perforations and 1 pouch at the noncoronary sinus cusp (NCC). The noncoronary sinus of Valsalva was dilated and the orifice to the daughter aneurysm was noticed. The noncoronary sinus of Valsalva was obliterated by suturing a dacron patch on the orifice. The aortic valve was replaced with ATS 23 mm valve. Postoperative computed tomography (CT) showed clot formation outside the patch.

摘要

一名39岁男性自8个月前起出现心悸和呼吸困难。在另一家医院被指出存在主动脉瓣反流后，他被转诊至我院进行检查。术前超声心动图（UCG）显示瓦尔萨尔瓦非冠状动脉窦扩张及主动脉瓣反流。主动脉造影发现一个子动脉瘤。在非冠状动脉窦瓣叶（NCC）有2处穿孔和1个囊袋。瓦尔萨尔瓦非冠状动脉窦扩张，可见通向子动脉瘤的开口。通过在开口处缝合涤纶补片闭塞瓦尔萨尔瓦非冠状动脉窦。用23毫米的ATS瓣膜置换主动脉瓣。术后计算机断层扫描（CT）显示补片外有血栓形成。