Ponti Alexandre, Qanadli Salah D, Kirsch Matthias, Tapponnier Maxime
Department of Diagnostic and Interventional Radiology, Lausanne University Hospital, Lausanne, Switzerland.
Department of Cardiac Surgery, Lausanne University Hospital, Lausanne, Switzerland.
Interact Cardiovasc Thorac Surg. 2017 Jun 1;24(6):967-968. doi: 10.1093/icvts/ivx041.
Sinus of Valsalva aneurysms are unusual, particularly when located on the left coronary sinus. They are mainly asymptomatic, however once ruptured, they are associated with high mortality. We present hereinafter an atypical case of a 71-year-old patient with an unruptured left sinus of Valsalva aneurysm causing myocardial ischaemia due to a compressed left main coronary artery. Surgical endoaneurysmorrhaphy was performed; however, a dehiscence of the suture line between the patch and the aortic wall required additional percutaneous implantation of a vascular occluder.
瓦氏窦瘤并不常见，尤其是位于左冠状动脉窦时。它们大多无症状，但一旦破裂，死亡率很高。我们在此介绍一例非典型病例，一名71岁患者患有未破裂的左瓦氏窦瘤，因左冠状动脉主干受压导致心肌缺血。进行了手术内动脉瘤缝合术；然而，补片与主动脉壁之间的缝线出现裂开，需要额外经皮植入血管封堵器。
