Jiang Zhaolei, Tang Min, Liu Hao, Mei Ju
Department of Cardiothoracic Surgery, Xinhua Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai, P. R. China.
Department of Cardiothoracic Surgery, Xinhua Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai, P. R. China.
Ann Thorac Surg. 2017 Jul;104(1):e27-e29. doi: 10.1016/j.athoracsur.2017.01.099.
Sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly, which mostly occurs in the right or noncoronary sinus of Valsalva. Left sinus of Valsava is infrequent. Unruptured SVAs are usually asymptomatic, and the diagnosis of unruptured SVA is usually accidental. A giant unruptured SVA may compress the coronary artery and cause myocardial infarction. Here, we report a rare case of a 50-year-old patient with unruptured giant left SVA causing occlusion of the left anterior descending coronary artery, which was successfully managed with our apparently unique surgical procedure.
瓦氏窦瘤（SVA）是一种罕见的心脏异常，大多发生在瓦氏窦的右侧或无冠状窦。左瓦氏窦则较少见。未破裂的SVA通常无症状，未破裂SVA的诊断通常是偶然的。巨大的未破裂SVA可能压迫冠状动脉并导致心肌梗死。在此，我们报告一例罕见病例，一名50岁患者患有未破裂的巨大左SVA，导致左前降支冠状动脉闭塞，我们通过明显独特的手术方法成功对其进行了治疗。
