Davarpasand Tahereh, Hosseinsabet Ali, Abbasi Kyomars
Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
J Tehran Heart Cent. 2017 Jan;12(1):42-45.
A ruptured sinus of Valsalva aneurysm rarely accompanies the aortic and tricuspid valve endocarditis. A 36-year-old woman presented with low-threshold dyspnea on exertion and fever. Transthoracic and transesophageal echocardiography showed a ruptured noncoronary sinus of Valsalva aneurysm with large vegetations on the tricuspid and aortic valves, resulting in moderately severe tricuspid regurgitation and severe aortic regurgitation. Blood culture was negative. The patient was initially treated with antibiotics and then subjected to the surgical repair of the sinus of Valsalva aneurysm and the tricuspid and aortic valve replacement. The patient's postoperative period was uneventful, and she was discharged healthy.
瓦氏窦瘤破裂很少与主动脉瓣和三尖瓣心内膜炎同时出现。一名36岁女性因劳力性低阈值呼吸困难和发热就诊。经胸和经食管超声心动图显示瓦氏窦瘤非冠状动脉窦破裂，三尖瓣和主动脉瓣上有大量赘生物，导致中度严重三尖瓣反流和严重主动脉反流。血培养阴性。患者最初接受抗生素治疗，然后接受瓦氏窦瘤手术修复及三尖瓣和主动脉瓣置换术。患者术后恢复顺利，健康出院。
