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[感染性心内膜炎后瓦氏窦右窦瘤:术前血管造影确认的超声心动图诊断]

[Postendocarditis aneurysm of the right sinus of Valsalva: its echographic diagnosis with preoperative angiographic confirmation].

作者信息

De Felice M, Pierli C, Le Grottaglie F, Toscano M

机构信息

Cattedra di Cardiologia, Università degli Studi, L'Aquila.

出版信息

Cardiologia. 1992 Aug;37(8):561-3.

PMID:1486577
Abstract

The sinus of Valsalva aneurysm is a rare complication of bacterial endocarditis in infancy and childhood. This report describes a young man with congenital aortic stenosis and bacterial endocarditis caused by Salmonella typhi. Bacterial endocarditis in this young man was complicated by the development of an aneurysm of the right sinus of Valsalva and a severe aortic regurgitation. Two-dimensional and Doppler echocardiography proved useful for the initial diagnosis and serial follow-up of this unusual disorder. However, an angiographic examination has been necessary for the surgical correction in order to understand the relationship between the aneurysm and the coronary arteries.

摘要

瓦氏窦瘤是婴幼儿和儿童细菌性心内膜炎的一种罕见并发症。本报告描述了一名患有先天性主动脉瓣狭窄并由伤寒沙门氏菌引起细菌性心内膜炎的年轻男性。该年轻男性的细菌性心内膜炎并发了右瓦氏窦瘤和严重主动脉瓣反流。二维和多普勒超声心动图对这种罕见疾病的初步诊断和系列随访很有用。然而,为了了解瘤体与冠状动脉之间的关系,手术矫正前进行血管造影检查是必要的。

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