Feldman Dmitriy N, Gade Christopher L, Roman Mary J
Division of Cardiology, Weill Medical College of Cornell University, 525 East 68th Street, New York, New York 1002, USA.
Tex Heart Inst J. 2005;32(4):555-9.
Aneurysms of the sinus of Valsalva are extremely rare. Ruptured aneurysms of the sinus of Valsalva are frequently associated with other congenital defects, particularly with ventricular septal defect, aortic valve regurgitation, and bicuspid aortic valve. We describe the case of a 26-year-old man who had a ruptured aneurysm of the right coronary sinus, a ventricular septal defect, and an anomalous origin of the right coronary artery. Successful surgical correction of the aneurysm and ventricular septal defect was performed with patch repair and aortic valve replacement. A review of the English-language medical literature revealed only 1 other case of a sinus of Valsalva aneurysm associated with a ventricular septal defect and an anomalous coronary artery. Previously published reports of the coexistence of a single coronary artery with a sinus of Valsalva aneurysm or with a ventricular septal defect, and their management, are discussed herein.
瓦氏窦瘤极为罕见。瓦氏窦瘤破裂常与其他先天性缺陷相关，尤其是室间隔缺损、主动脉瓣反流和二叶式主动脉瓣。我们报道一例26岁男性患者，其患有右冠状动脉窦瘤破裂、室间隔缺损及右冠状动脉起源异常。通过补片修补和主动脉瓣置换成功实施了瘤体及室间隔缺损的手术矫正。对英文医学文献的回顾显示，仅有另外1例瓦氏窦瘤合并室间隔缺损及冠状动脉异常的病例。本文讨论了先前发表的关于单一冠状动脉与瓦氏窦瘤或室间隔缺损并存及其处理的报告。
