Del Campo Carlos, Weinberg David M
Department of Cardiovascular and Thoracic Surgery, St. Jude Medical Center, Fullerton, California 92835, USA.
Tex Heart Inst J. 2003;30(3):202-4.
Aneurysms of the sinuses of Valsalva, when detected before rupture, are repaired electively. When they are small, they are most frequently repaired by direct closure; when they are large, they are repaired with a prosthetic patch. When they are associated with prolapse of the corresponding aortic cusp and aortic insufficiency, valve replacement is usually performed concomitantly. We present the case of a patient in whom both abnormalities were corrected by implantation of a Freestyle bioprosthesis, the wall of which completely excluded the aneurysm of the sinus of Valsalva. The patient remains asymptomatic 18 months after surgery.
在瓦氏窦瘤破裂前被检测到时，可择期进行修复。瘤体较小时，最常通过直接缝合进行修复；瘤体较大时，则用人工补片进行修复。当它们与相应主动脉瓣叶脱垂和主动脉瓣关闭不全相关时，通常会同时进行瓣膜置换。我们报告了一例患者，通过植入Freestyle生物假体同时纠正了这两种异常情况，该假体壁完全排除了瓦氏窦瘤。患者术后18个月仍无症状。
