Sato H, Yamaguchi T, Takahashi K, Ebuoka M, Abe T
Department of Thoracic and Cardiovascular Surgery, Hokkaido Prefectural Kitami Hospital, Kitami, Japan.
Kyobu Geka. 2002 Jul;55(7):591-4.
A successful operative treatment of an unruptured aneurysm of the noncoronary sinus of Valsalva protruded into the left atrium is reported. A 64-year-old female was unexpectedly found an aneurysm of the sinus of Valsalva during the examination of bradycardia. Cardiac angiography and two dimensional echocardiography demonstrated the unruptured aneurysm of the noncoronary sinus of Valsalva of 35 mm in diameter, which protruded into the left atrium. She underwent the surgery. The aneurysm was excised and the aortic root defect was closed with a Woven dacron patch. The postoperative course was uneventful. Pathologic examination revealed the atherosclerotic change of the aorta. As far as we know, this patient is the first reported case of the unruptured aneurysm of the noncoronary sinus of Valsalva protruded into the left atrium in this country.
报道了1例成功手术治疗突入左心房的瓦氏非冠状动脉窦未破裂动脉瘤的病例。一名64岁女性在心动过缓检查中意外发现瓦氏窦动脉瘤。心脏血管造影和二维超声心动图显示直径为35mm的瓦氏非冠状动脉窦未破裂动脉瘤，该动脉瘤突入左心房。她接受了手术。切除动脉瘤，并用编织涤纶补片封闭主动脉根部缺损。术后过程顺利。病理检查显示主动脉有动脉粥样硬化改变。据我们所知，该患者是我国首例报道的突入左心房的瓦氏非冠状动脉窦未破裂动脉瘤病例。
