Lahrouchi Najim, Rammeloo Lukas A J, Koolbergen David R, Hruda Jaroslav
1 Department of Pediatric Cardiology, VU University Medical Center, Amsterdam, The Netherlands.
2 Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Cardiol Young. 2014 Apr;24(2):376-8. doi: 10.1017/S1047951113000450. Epub 2013 Apr 18.
Aneurysms of one of the aortic sinuses of Valsalva are rare congenital or acquired lesions. Here we present the case of an adolescent with Down syndrome with ruptured aneurysm of the right coronary sinus into the right atrium. All sinuses of Valsalva were normal during cardiological screening owing to Down syndrome at the age of 2 weeks. Paediatricians should have a low threshold for referring patients with Down syndrome for cardiac re-evaluation because of the new onset of cardiac symptoms or cardiac physical findings, even in the situation in which there are normal echocardiographic findings in the past.
瓦氏窦（Valsalva窦）其中一个窦的动脉瘤是罕见的先天性或后天性病变。在此，我们报告一例患有唐氏综合征的青少年，其右冠状动脉窦动脉瘤破裂并破入右心房。由于在2周龄时因唐氏综合征进行心脏筛查，当时所有瓦氏窦均正常。儿科医生对于因出现新的心脏症状或心脏体格检查发现而转诊唐氏综合征患者进行心脏重新评估的门槛应较低，即使过去超声心动图检查结果正常的情况下也是如此。
