升主动脉瘤合并四叶式主动脉瓣。

Ascending aortic aneurysm associated with a quadricuspid aortic valve.

作者信息

Kasama Keiichiro, Ogino Hitoshi, Matsuda Hitoshi, Minatoya Kenji, Sasaki Hiroaki, Tanaka Hiroshi, Ishibashi-Ueda Hatsue, Kobayashi Junjiro

机构信息

Department of Cardiovascular Surgery, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2011 Mar;59(3):179-80. doi: 10.1007/s11748-010-0645-4. Epub 2011 Mar 30.

DOI:10.1007/s11748-010-0645-4

PMID:21448794

Abstract

We report here a rare case of ascending aortic aneurysm associated with a tricuspitalized quadricuspid aortic valve. A 45-year-old man had a fusiform ascending aortic aneurysm with aortic valve regurgitation. Transthoracic echocardiography revealed grade III aortic regurgitation. Chest computed tomography showed an ascending aortic aneurysm with a diameter of 48 mm. Surgery revealed that the aortic valve was a tricuspitalized quadricuspid aortic valve with an accessory cusp between the right coronary cusp and left coronary cusp.

摘要

我们在此报告一例罕见的升主动脉瘤合并三尖瓣化四叶主动脉瓣的病例。一名45岁男性患有梭形升主动脉瘤并伴有主动脉瓣反流。经胸超声心动图显示为III级主动脉瓣反流。胸部计算机断层扫描显示升主动脉瘤直径为48毫米。手术发现主动脉瓣为三尖瓣化四叶主动脉瓣，在右冠状动脉瓣和左冠状动脉瓣之间有一个附加瓣叶。