Mujanovic Emir, Kabil Emir, Bergsland Jacob, Stanimirovic-Mujanovic Sanja, Caluk Jasmin
BH Heart center Tuzla, Tuzla, Bosnia and Herzegovina.
Med Arh. 2010;64(5):307-8.
Sinus of Valsalva (SV) aneurysm is rare cardiac lesion with variable clinical presentation. We presented a case of a 41-year-old female who was admitted to our Center because of severe heart failure and a signs of ruptured aneurysm of the SV into the right atrium. Transthoracic echocardiography confirmed communication between noncoronary SV and right atrium measuring 12 mm in diameter, tricuspid insufficiency, biatrial dilatation and preserved left ventricular function. Urgent heart catheterization showed normal coronary arteries. Surgical repair with patch repair of the ruptured aneurysm was performed. Control echocardiography showed no communication with regression in tricuspid insufficiency. Eight days after surgery the patient was discharged home in good condition with no symptoms. Rupture of SV aneurysm may produce serious hemodynamic instability with heart failure or sudden death. Our experience supports the concept that early diagnosis and surgical treatment can save lives for most of the patients.
瓦氏窦（SV）瘤是一种罕见的心脏病变，临床表现多样。我们报告了一例41岁女性病例，该患者因严重心力衰竭及SV瘤破裂入右心房的体征入住我院。经胸超声心动图证实非冠状动脉SV与右心房之间存在直径为12mm的交通，三尖瓣关闭不全，双房扩大，左心室功能保留。紧急心脏导管检查显示冠状动脉正常。采用补片修补破裂的动脉瘤进行手术修复。对照超声心动图显示无交通，三尖瓣关闭不全有所减轻。术后8天患者康复出院，无症状。SV瘤破裂可能导致严重的血流动力学不稳定，伴发心力衰竭或猝死。我们的经验支持早期诊断和手术治疗可挽救大多数患者生命这一观点。
