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[主动脉根部再植术治疗心外未破裂的瓦氏窦瘤]

[Aortic Root Reimplantation for Extra-cardiac Unruptured Sinus of Valsalva Aneurysm].

作者信息

Nishimura Masanori, Nakamura Kunihide, Nagahama Hiroyuki, Matsuyama Masakazu, Endo Joji, Ishii Hirohito, Yokota Atsuko, Yonei Akihiro, Nakao Hironobu, Sakaguchi Shuhei

机构信息

Department of Surgery II , Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.

出版信息

Kyobu Geka. 2015 Apr;68(4):310-3.

PMID:25837005
Abstract

Aneurysms of the sinus of Valsalva are rare. We report a case of extra-cardiac unruptured aneurysm of the sinus of Valsalva with moderate aortic regurgitation (AR). A 57-year-old woman was referred to our institution because of AR. Echocardiography showed moderate AR and computed tomographic scanning demonstrated an extra-cardiac aneurysm of the unruptured sinus of Valsalva, which extended from the right sinus of Valsalva to the non-coronary sinus of Valsalva. She underwent aortic root reimplantation procedure with a Valsalva graft. Although mild AR was observed postoperatively, her postoperative course was uneventful.

摘要

瓦氏窦瘤罕见。我们报告一例伴有中度主动脉瓣反流(AR)的心脏外未破裂瓦氏窦瘤病例。一名57岁女性因主动脉瓣反流转诊至我院。超声心动图显示中度主动脉瓣反流,计算机断层扫描显示心脏外未破裂瓦氏窦瘤,从瓦氏窦右窦延伸至瓦氏窦无冠窦。她接受了带瓦氏补片的主动脉根部再植入手术。尽管术后观察到轻度主动脉瓣反流,但她的术后病程平稳。

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