表现为ST段抬高型心肌梗死的瓦氏窦瘤破裂
Ruptured sinus of Valsalva aneurysm presenting as ST-elevation myocardial infarction.
作者信息
Lindsay Alistair C, Mahesh Balakrishnan, Gaer Jullien A, Dalby Miles C D
机构信息
Harefield Hospital, Harefield, Middlesex UB9 6JH, UK.
出版信息
Nat Rev Cardiol. 2009 May;6(5):379-82. doi: 10.1038/nrcardio.2009.45.
PMID:19377500
Abstract
BACKGROUND
A 52-year-old man presented with central chest pain, which he had experienced for 8 h. He had no other associated symptoms and no prior history of cardiovascular disease.
INVESTIGATIONS
Electrocardiography, chest radiography, coronary angiography, aortic angiography, echocardiography, CT thorax with contrast.
DIAGNOSIS
Ruptured aneurysm of the sinus of Valsalva.
MANAGEMENT
Emergency sternotomy and pericardiotomy, followed by aortic root replacement.
摘要
背景
一名52岁男性出现胸痛，持续8小时。他无其他相关症状，既往无心血管疾病史。
检查
心电图、胸部X线、冠状动脉造影、主动脉造影、超声心动图、胸部增强CT。
诊断
瓦氏窦瘤破裂。
治疗
紧急开胸及心包切开，随后行主动脉根部置换术。
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