Aboukhoudir F, Rekik S, Hirsch J-L, Aboukhoudir I, Pansieri M
Service de cardiologie, centre hospitalier d'Avignon, 84000 Avignon, France; EA4278, Avignon université, laboratoire de pharm écologie cardiovasculaire, 84000 Avignon, France.
Service de cardiologie, centre hospitalier d'Antibes, 06600 Antibes, France.
Ann Cardiol Angeiol (Paris). 2014 Nov;63(5):376-80. doi: 10.1016/j.ancard.2014.05.014. Epub 2014 Jun 9.
Sinus of Valsalva aneurysms are very rare and are often asymptomatic. Clinical manifestations depend on associated complications, most commonly rupture or dissection. We describe the case of a 54-year-old male presenting with exercise-related angina and dyspnea and in whom we found a large unruptured aneurysm of the left sinus of Valsalva. On angiography, he also had a severe stenosis of the left artery descending and the diagonal. He underwent a successful surgical intervention with bypass and closure of the aneurysm.
瓦氏窦瘤非常罕见，通常无症状。临床表现取决于相关并发症，最常见的是破裂或夹层。我们描述了一名54岁男性的病例，该患者表现为运动相关的心绞痛和呼吸困难，我们发现其患有一个巨大的未破裂的左瓦氏窦瘤。血管造影显示，他还患有左前降支和对角支严重狭窄。他接受了成功的手术干预，进行了搭桥并封闭了动脉瘤。
