Avci Anil, Akcakoyun Mustafa, Alizada Elnur, Esen Ozlem, Pala Selcuk, Eren Ercan, Esen Ali Metin
Department of Cardiology, Kartal Kosuyolu Cardiovascular Research and Training Hospital, Istanbul, Turkey.
Echocardiography. 2010 Mar;27(3):341-3. doi: 10.1111/j.1540-8175.2009.01088.x.
Aneurysms of the sinus of Valsalva are rarely diagnosed cardiac anomalies, occurring in 0.14%-0.96% of patients who have undergone open heart surgical procedures. The most common congenital anomalies accompanying sinus of Valsalva aneurysm (SVA) are ventricular septal defect, bicuspid aortic valve, atrial septal defect, and coarctation of aorta. We report a patient with an unruptured right SVA presenting with severe right ventricular outflow tract (RVOT) obstruction, and coexisting patent foramen ovale (PFO) with a right to left shunt. It could be assumed that the increase in right atrial pressure due to RVOT obstruction had led to a right to left shunt across the patent foramen ovale.
主动脉窦瘤是很少被诊断出的心脏异常，在接受心脏直视手术的患者中发生率为0.14% - 0.96%。与主动脉窦瘤（SVA）相关的最常见先天性异常是室间隔缺损、二叶式主动脉瓣、房间隔缺损和主动脉缩窄。我们报告一例未破裂的右主动脉窦瘤患者，表现为严重的右心室流出道（RVOT）梗阻，并存卵圆孔未闭（PFO）且有右向左分流。可以推测，由于右心室流出道梗阻导致右心房压力升高，进而引起经卵圆孔未闭的右向左分流。
