Ozaki T, Kondoh J, Adachi R, Imoto K, Kajiwara H, Tobe M, Matsumoto A
Kyobu Geka. 1989 Sep;42(10):876-8.
A 21-year-old male with ruptured aneurysm of sinus of Valsalva caused by bacterial endocarditis is presented. The patient complained of palpitation and a attack of fever. Continuous murmur was heard with a thrill at the third intercostal space of the left sternal border. On plain chest x-ray film pulmonary congestion and increase in pulmonary flow were observed. Cardiac catheterization showed step up of oxygen contents at the level of right ventricle and left to right shunt of 36.5%. Aortography demonstrated the aneurysm of the sinus of Valsalva ruptured to right ventricle. The operation was performed by right ventricular approach. Aneurysmal sac was resected and its orifice was closed with mattress sutures. Bacteriological examination at the time of operation revealed Staphylococcus aureus. Postoperative course was uneventful.
本文报告一例21岁男性患者，因细菌性心内膜炎导致瓦尔萨尔瓦窦瘤破裂。患者主诉心悸和发热发作。在左胸骨缘第三肋间可闻及连续性杂音并伴有震颤。胸部X线平片显示肺充血和肺血流量增加。心导管检查显示右心室水平氧含量升高，左向右分流率为36.5%。主动脉造影显示瓦尔萨尔瓦窦瘤破裂至右心室。通过右心室入路进行手术。切除瘤囊，用褥式缝线缝合其开口。手术时的细菌学检查发现金黄色葡萄球菌。术后病程顺利。
