Karagöz Ahmet, Çelik Abdullah, Vural Aslı, Başer Bengi
Department of Cardiology, Giresun University, Giresun, Turkey.
Department of Cardiovascular Surgery, Giresun University, Giresun, Turkey.
BMJ Case Rep. 2014 Sep 19;2014:bcr2014206331. doi: 10.1136/bcr-2014-206331.
Ventricular septal aneurysms are rare clinical entities and their certain prevalence and clinical significance are not well known. Most of them are thought to develop during or after the closure process of the accompanying ventricular septal defects. Although a majority of the patients are typically asymptomatic, the potential risks should also be kept in mind. We present a case of a membranous interventricular septal aneurysm that developed after surgery for subaortic valvular stenosis. The points that make our case worth reporting are development of the aneurysm after aortic surgery and lack of a concomitant ventricular septal defect. On the basis of the existence of an aortic valve surgery history and reports that do not mention any ventricular septal defect and ventricular septal aneurysm when she was operated, we suggest that the aneurysmatic formation in the membranous portion of the interventricular septum developed due to valve surgery in the postoperative wound healing period.
室间隔瘤是一种罕见的临床病症，其确切的患病率和临床意义尚不明确。大多数室间隔瘤被认为是在伴随的室间隔缺损闭合过程中或之后形成的。尽管大多数患者通常无症状，但潜在风险也应牢记于心。我们报告一例主动脉瓣下狭窄手术后发生的膜性室间隔瘤病例。使我们的病例值得报告的要点是主动脉手术后发生动脉瘤以及不存在伴随的室间隔缺损。基于存在主动脉瓣手术史以及在其手术时未提及任何室间隔缺损和室间隔瘤的报告，我们认为室间隔膜部的动脉瘤形成是由于术后伤口愈合期的瓣膜手术所致。
