Gupta Abhaya, Gupta Preeti, Prasanna Krishna, Johny Leslie
Elderly Care, West Wales Hospital, Carmarthen SA31 2AF, UK.
Age Ageing. 2004 Mar;33(2):201-3. doi: 10.1093/ageing/afh066.
Sinus of valsalva aneurysm is a rare congenital anomaly and usually presents in adolescence to early adulthood. Manifestations are varied, ranging from asymptomatic murmur to sudden death.
An elderly male presented with chest pain and machinery murmur, which was confirmed as ruptured sinus of valsalva aneurysm on echocardiogram. Emergency surgical repair led to a successful outcome.
Review of the literature revealed that this patient is the oldest reported case. Urgent echocardiography and surgical advice are essential. This condition is potentially treatable even in the older age group and the prognosis is good after surgical repair.
瓦氏窦瘤是一种罕见的先天性异常，通常在青少年至成年早期出现。其表现多样，从无症状杂音到猝死不等。
一名老年男性因胸痛和连续性杂音就诊，超声心动图证实为瓦氏窦瘤破裂。急诊手术修复取得成功。
文献回顾显示，该患者是有报道的年龄最大的病例。紧急超声心动图检查和手术建议至关重要。即使在老年人群中，这种情况也有可能得到治疗，手术修复后预后良好。
