Mwambingu Thomas L, Matthews Iain G, Thambyrajah Jeet, Andrew Owens W
Cardiothoracic Department, James Cook University Hospital, Marton Road, Middlesbrough TS4 3BW, UK.
Interact Cardiovasc Thorac Surg. 2011 Dec;13(6):664-5. doi: 10.1510/icvts.2011.282889. Epub 2011 Sep 4.
A 65-year-old male was referred to our team after the incidental finding of a large non-coronary sinus of Valsalva aneurysm on computed tomography (CT)-scan of the thorax. Further imaging with transesophageal echocardiography (TOE) excluded intracardiac shunting. Unusually, the aneurysm had ruptured into the interatrial septum and was seen to be compressing both atria. At operative intervention, a 20 mm defect which had replaced the non-coronary sinus was repaired using a patch graft. An aneurysm of an aortic sinus is a rare disorder, and a rupture of a non-coronary sinus typically results in the formation of a fistulous tract in the right atrium. These images highlight an unusual case of a non-coronary sinus of Valsalva aneurysm which ruptured into the interatrial septum (IAS), and demonstrate the benefit of multi-modality cardiac imaging in guiding surgical repair.
一名65岁男性在胸部计算机断层扫描（CT）偶然发现一个巨大的非冠状动脉窦瘤后被转诊至我们团队。经食管超声心动图（TOE）进一步检查排除了心内分流。不同寻常的是，该瘤体已破裂进入房间隔，并可见压迫双侧心房。手术干预时，使用补片修补了一个取代非冠状动脉窦的20毫米缺损。主动脉窦瘤是一种罕见疾病，非冠状动脉窦破裂通常会导致右心房形成瘘管。这些影像突出了一例罕见的非冠状动脉窦瘤破裂进入房间隔（IAS）的病例，并展示了多模态心脏成像在指导手术修复中的作用。
