Jain Nirdesh, Gutch Manish, Khanna Roopali, Arora Rahul
Department of Internal Medicine, CSMMU, Lucknow, India.
J Cardiovasc Dis Res. 2012 Jan;3(1):43-5. doi: 10.4103/0975-3583.91596.
Rupture of the sinus of Valsalva (RSOV) is an uncommonly encountered condition. It can present with wider manifestations ranging from an asymptomatic murmur to cardiogenic shock. The case discussed in this report also had subaortic membrane which usually presents with subvalvular aortic stenosis, left ventricular hypertrophy, myocardial ischemia and sudden death. Corrective cardiac surgery was advised, but due to financial constraints, the patient could not be operated and he died. Here, the authors report for the first time an unusual presence of both RSOV and subaortic membrane and the patient presented with thromboembolic complication resulting from infective endocarditis.
瓦氏窦破裂（RSOV）是一种罕见的病症。它可表现出更广泛的症状，从无症状杂音到心源性休克。本报告中讨论的病例还伴有主动脉瓣下隔膜，该病症通常表现为瓣膜下主动脉瓣狭窄、左心室肥厚、心肌缺血和猝死。建议进行心脏矫正手术，但由于经济限制，患者无法接受手术，最终死亡。在此，作者首次报告了RSOV和主动脉瓣下隔膜同时存在的罕见情况，且该患者出现了感染性心内膜炎导致的血栓栓塞并发症。
