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酷似右心房肿瘤的未破裂瓦氏窦瘤

Unruptured sinus of Valsalva aneurysm mimicking as right atrial tumor.

作者信息

Khanna Roopali, Shah Pujan, Dey Mousam, Goel Pravin K, Goyal Puneet, Pandey Shantanu

机构信息

Department of cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.

Department of radiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.

出版信息

Echocardiography. 2017 Jul;34(7):1107-1109. doi: 10.1111/echo.13550. Epub 2017 May 11.

Abstract

Sinus of Valsalva aneurysm is a rare congenital cardiac abnormality and is usually diagnosed when it ruptures. An asymptomatic 55-year-old male of unruptured sinus of Valsalva aneurysm of noncoronary cusp was on medical follow-up. At 2-year follow-up, there was thrombus formation in the aneurysm, mimicking right atrium tumor on 2D transthoracic echocardiography. Cardiac computed tomography showed filling defect in the aneurysm suggestive of thrombus. Considering the high risk of systemic emboli surgery was performed, and aneurysm was repaired with Dacron patch.

摘要

瓦氏窦瘤是一种罕见的先天性心脏异常,通常在破裂时才被诊断出来。一名55岁无症状男性,其非冠状动脉瓣的未破裂瓦氏窦瘤正在接受医学随访。在2年的随访中,瘤内形成血栓,二维经胸超声心动图显示类似右心房肿瘤。心脏计算机断层扫描显示瘤内有充盈缺损,提示血栓形成。考虑到全身栓塞的高风险,进行了手术,并用涤纶补片修复了瘤体。

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