Altekin Refik Emre, Karakas M Serkan, Er Arzu, Yanikoglu Atakan, Ozbek Sinan, Yilmaz Huseyin
Department of Cardiology, Akdeniz University Medical Faculty, Antalya, Turkey.
Acta Cardiol. 2011 Oct;66(5):657-60. doi: 10.1080/ac.66.5.2131095.
Rupture of a sinus of Valsalva aneurysm (SVA) is clinically characterized by widening of an existing sinus of Valsalva aneurysm in time and its opening to other cardiac cavities, primarily to the right atrium and right ventricle. Increased biventricular filling appearing due to rupture causes symptoms of heart failure. Although classical treatment of ruptured SVA is surgical, various percutaneous closure devices are being used successfully for treatment of lesions in recent years. With this paper, we described a case about rupture of a sinus of Valsalva aneurysm causing a haemodynamically important left-to-right shunt and heart failure due to this, and we explained how we successfully repaired it with an Amplatzer ductal occluder device. Our clinical experience and early term results of similar cases in the literature suggest that percutaneous closure methods can be an alternative to surgical treatment to treat ruptured sinus ofValsalva aneurysms.
瓦氏窦瘤（SVA）破裂的临床特征是，现有的瓦氏窦瘤随着时间推移不断扩大，并向其他心腔开放，主要是向右心房和右心室开放。破裂导致的双心室充盈增加会引发心力衰竭症状。虽然传统上破裂SVA的治疗方法是手术治疗，但近年来各种经皮封堵装置已成功用于治疗此类病变。在本文中，我们描述了一例瓦氏窦瘤破裂导致血流动力学上重要的左向右分流并由此引发心力衰竭的病例，并阐述了我们如何使用Amplatzer动脉导管封堵器成功修复该病例。我们的临床经验以及文献中类似病例的早期结果表明，经皮封堵方法可作为手术治疗破裂瓦氏窦瘤的替代方案。
