Ro Thomas K, Cotter Bruno R, Simsir Sinan A, Karlsberg Ronald P
University of San Diego School of Medicine, San Diego, CA, USA.
Interact Cardiovasc Thorac Surg. 2009 Nov;9(5):888-90. doi: 10.1510/icvts.2009.215590. Epub 2009 Aug 31.
We present a case report of a ruptured sinus of Valsalva aneurysm (SVA) that presented as aortic insufficiency following bacterial endocarditits in a cardiac transplant patient. Cardiac computed tomographic angiography (CCTA) including volume rendered images predicted the appearance of the fistula entrance and defined spatial relationships facilitating the surgical approach. CCTA ability to define the coronary anatomy obviated the need for invasive coronary angiography. The use of this imaging modality especially with three-dimensional spatial visualization, and multiphase cine angiography can add significant value to the care of a patient with ruptured sinus of Valsalva.
我们报告一例心脏移植患者在细菌性心内膜炎后出现主动脉瓣关闭不全，系瓦尔萨尔瓦窦瘤（SVA）破裂所致。心脏计算机断层血管造影（CCTA），包括容积再现图像，预测了瘘口入口的外观并确定了空间关系，有助于手术入路。CCTA能够明确冠状动脉解剖结构，无需进行有创冠状动脉造影。这种成像方式的应用，尤其是三维空间可视化和多期电影血管造影，可为瓦尔萨尔瓦窦破裂患者的治疗增添重要价值。
