Watanabe Manabu, Aoki Mitsuru, Fujiwara Tadashi
Unit of Cardiovascular Surgery, Chiba Children's Hospital, 579-1 Heta-cho, Midori-ku, Chiba, Chiba, Japan.
Gen Thorac Cardiovasc Surg. 2009 Mar;57(3):151-2. doi: 10.1007/s11748-008-0340-x. Epub 2009 Mar 12.
We report a rare type of aneurysm of the sinus of Valsalva. The orifice of the aneurysm was in the right sinus of Valsalva and protruded superiorly, which is a direction not typical of right sinus of Valsalva aneurysms. Intraoperatively, it became clear that the aneurysm was located in the right sinus of Valsalva with extracardiac protrusion. Inspection through the aortotomy revealed that the orifice of the aneurysm opened between the orifice of the right coronary artery and the commissure between the right and left coronary cusps. The aneurysm was obliterated with a pledgeted suture from outside the orifice of the aneurysm. Early prophylactic surgical treatment of the aneurysm makes the operation simple and prevents subsequent development of complications, such as compression of the coronary artery, thrombosis, and/or spontaneous rupture.
我们报告了一种罕见类型的瓦氏窦瘤。瘤口位于右瓦氏窦并向上突出，这一方向并非典型的右瓦氏窦瘤的方向。术中发现，该瘤位于右瓦氏窦并向心外突出。通过主动脉切口检查发现，瘤口在右冠状动脉口与左右冠状动脉瓣叶交界处之间开口。用带垫片缝线从瘤口外封堵该瘤。对该瘤进行早期预防性手术治疗可使手术操作简单，并防止随后出现诸如冠状动脉受压、血栓形成和/或自发破裂等并发症。
