Asín Cardiel E, Moya J L, de Pablo C, Codina J, Martínez J, Epeldegui A, Hernández A
Servicio de Cardiología, Hospital Ramón y Cajal, Madrid.
Rev Esp Cardiol. 1991 Oct;44(8):560-2.
We present a case of a sinus of Valsalva aneurysm ruptured into right atrium secondary to aortic endocarditis. Early surgical procedure was indicated bases on transthoracic echocardiography. This technique demonstrated a abscess image enlarged into the right atrium and color Doppler showed a turbulent flow from aortic valve to right atrium. Cardiac surgery was performed with transesophageal echocardiography monitoring. This technique allowed anatomical and functional aortic valve evaluation and the abscess location and extension. This case shows the value of transthoracic and transesophageal color Doppler echocardiography in the diagnosis and management of patients with complications secondary to infective endocarditis.
我们报告一例因主动脉心内膜炎继发的瓦氏窦瘤破裂入右心房的病例。基于经胸超声心动图表明需尽早进行手术。该技术显示脓肿影像延伸至右心房，彩色多普勒显示从主动脉瓣到右心房的湍流。在经食管超声心动图监测下进行了心脏手术。该技术可对主动脉瓣进行解剖和功能评估以及确定脓肿的位置和范围。本病例显示了经胸和经食管彩色多普勒超声心动图在感染性心内膜炎继发并发症患者的诊断和管理中的价值。
