Kaya Mehmet Gungor, Mavili Ertugrul, Dogdu Orhan, Dogan Ali, Inanc Tugrul, Baykan Ali
Department of Cardiology, Erciyes University School of Medicine, Kayseri, Turkey.
Cardiovasc Revasc Med. 2010 Jul-Sep;11(3):186-8. doi: 10.1016/j.carrev.2008.09.003.
We report the case of a 38-year-old man with a long-standing history of a small ventricular septal defect presented with chest pain. Electrocardiography revealed sinus rhythm, ST-segment elevation in leads V1-6. The chest X-ray showed mild cardiomegaly. He underwent cardiac catheterisation laboratory to primary coronary angioplasty. Coronary angiography showed normal coronary arteries. Aortic root angiography revealed type A aortic dissection. Transthoracic and transesophageal echocardiography showed aortic dissection in ascending aorta and a perimembranous ventricular septal defect. Thoracoabdominal CT angiography confirmed the aortic dissection before the surgery. The patient underwent cardiac surgery immediately. The ventricular septal defect and aortic dissection were repaired successfully. The postoperative recovery was uneventful and he has thus far remained asymptomatic at 6 months' follow-up.
我们报告一例38岁男性病例，该患者有长期小型室间隔缺损病史，现出现胸痛症状。心电图显示窦性心律，V1 - 6导联ST段抬高。胸部X线显示轻度心脏扩大。他接受了心脏导管实验室检查及急诊冠状动脉血管成形术。冠状动脉造影显示冠状动脉正常。主动脉根部造影显示A型主动脉夹层。经胸和经食管超声心动图显示升主动脉夹层和膜周部室间隔缺损。胸腹CT血管造影在手术前证实了主动脉夹层。患者立即接受了心脏手术。室间隔缺损和主动脉夹层均成功修复。术后恢复顺利，在6个月的随访中他至今仍无症状。
