Imamura M, Aoki H, Uchida H, Kubota H, Murakami T
Department of Thoracic and Cardiovascular Surgery, Asahikawa Municipal Hospital.
Kyobu Geka. 1990 Jun;43(6):502-4.
Ruptured aneurysm of the sinus of Valsalva is a rare cardiac lesion. A ruptured aneurysm of the sinus of Valsalva in the right ventricle of a 64-year-old man was successfully repaired. The patient was admitted to the hospital with high fever and chest oppression. Diagnosis was made by two dimensional echocardiography, cardiac catheterization, and cardiac angiography. An aortotomy, main pulmonary arteriotomy, and right ventriculotomy were performed. There was no VSD, and the aneurysm originated from the right coronary sinus, rupturing into the right ventricle inlet portion. The ruptured aneurysm of the sinus of Valsalva was closed with a Dacron patch from inside the aorta. He is doing well after surgery. There was no heart murmur. CTR decreased and pulmonary blood flow fell to a normal value. As far as we know, this patient is the second oldest patient in Japan with surgical repair.
瓦氏窦瘤破裂是一种罕见的心脏病变。一名64岁男性右心室的瓦氏窦瘤破裂成功修复。该患者因高热和胸闷入院。通过二维超声心动图、心导管检查和心血管造影进行诊断。实施了主动脉切开术、主肺动脉切开术和右心室切开术。未发现室间隔缺损，瘤体起源于右冠状动脉窦，破裂入右心室入口处。从主动脉内部用涤纶补片封闭破裂的瓦氏窦瘤。术后他恢复良好。无心脏杂音。心胸比率降低，肺血流量降至正常水平。据我们所知，该患者是日本接受手术修复的第二高龄患者。
