Akdemir Ramazan, Yeter Ekrem, Kılıç Harun, Göktuğ Ertem Ahmet
Department of Cardiology, Sakarya University Faculty of Medicine, Sakarya, Turkey.
Turk Kardiyol Dern Ars. 2012 Sep;40(5):447-50. doi: 10.5505/tkda.2012.67026.
Sinus of Valsalva aneurysm (SVA) is a rare disease that is mostly congenital in origin. The rupture of a SVA may occur and can eventually lead to death unless definite surgical treatment occurs. In this article, a ruptured and percutaneously treated SVA in a subject who underwent two consecutive corrective open cardiac surgeries due to a congenital heart disease was examined. An 18-year-old male was referred because of the complaint of dyspnea and fatigue. He underwent a complete repair of tetrology of Fallot before and a redo-repair of residual VSD three years before. A ruptured SVA was detected by transthoracic echocardiography and aortography. Percutaneous closure was successful by an Amplatzer muscular VSD occluder. Percutaneous treatment of a ruptured SVA may be an alternative technique to surgery in selected cases.
瓦氏窦瘤（SVA）是一种罕见疾病，大多源于先天性。SVA破裂可能发生，若不进行明确的手术治疗最终可能导致死亡。本文对一名因先天性心脏病接受了两次连续性心脏直视矫正手术的患者中破裂且经皮治疗的SVA进行了研究。一名18岁男性因呼吸困难和疲劳主诉前来就诊。他曾接受过法洛四联症的完全修复手术，三年前又对残余室间隔缺损进行了再次修复手术。经胸超声心动图和主动脉造影检测到SVA破裂。使用Amplatzer肌部室间隔缺损封堵器成功进行了经皮封堵。在某些特定病例中，经皮治疗破裂的SVA可能是一种替代手术的技术。
