1例罕见的瓦氏窦左冠状动脉窦未破裂动脉瘤，伴有卵圆孔未闭和心房颤动，在心脏病因性卒中后被发现。
A rare case of unruptured aneurysm of left coronary sinus of Valsalva accompanied with patent foramen ovale and atrial fibrillation detected after cardiac etiology stroke.
作者信息
Hohenforst-Schmidt Wolfgang, Grapatsas Konstantinos, Zarogoulidis Paul, Leivaditis Vasileios, Kotoulas Christoforos, Tomos Periclis, Benhassen Naim, Tsilogianni Zoi, Koletsis Efstratios, Haussmann Erich, Haussmann Rainer, Huang Haidong, Kosmidis Christoforos, Kosan Bora, Dahm Manfred, Sinha Anil
机构信息
Sana Clinic Group Franken, Department of Cardiology/Pulmonology/Intensive Care/Nephrology, "Hof" Clinics, University of Erlangen, Hof, Germany.
Department of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, Academic Educational Hospital, Heidelberg University and Mainz University, Kaiserslautern, Germany.
出版信息
Respir Med Case Rep. 2017 Apr 12;21:105-107. doi: 10.1016/j.rmcr.2017.04.011. eCollection 2017.
We present a rare case of a 74 year old female with unruptured aneurysm of the left coronary sinus of Valsalva accompanied with patent foramen ovale and atrial fibrillation. This rare combination was detected during diagnostics for a cardiac etiology stroke. The left coronary sinus of Valsalva was reconstructed using an autologous pericardial patch, the left atrial appendage closed, left atrial ablation performed with cooled radiofrequency and the patent foramen ovale sutured directly. The patient was dismissed on the 12th postoperative day after having an uncomplicated postoperative course.
我们报告一例罕见病例，一名74岁女性，患有未破裂的瓦尔萨尔瓦左冠状动脉窦瘤，伴有卵圆孔未闭和心房颤动。这种罕见的组合是在对心脏病因性中风进行诊断时发现的。使用自体心包补片重建瓦尔萨尔瓦左冠状动脉窦，闭合左心耳，采用冷射频进行左心房消融，并直接缝合卵圆孔未闭。患者术后过程顺利，术后第12天出院。
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