瓦尔萨尔瓦窦瘤破裂：两例病例报告并文献复习。
Rupture of sinus of Valsalva aneurysm: Two case reports and a concise review of the literature.
机构信息
Department of Internal Medicine, Ascension Health, Saint John Hospital and Medical Center, 19251 Mack Ave Suite 335, Grosse Pointe Woods, Detroit, MI 48236, USA.
Division of Cardiology, Ascension Health, Saint John Hospital and Medical Center, 22101 Moross Road VEP, 2nd Floor, Cath Lab, Detroit, MI 48236, USA.
出版信息
Heart Lung. 2018 Mar-Apr;47(2):131-135. doi: 10.1016/j.hrtlng.2017.10.005. Epub 2017 Nov 22.
BACKGROUND
The rupture of sinus of Valsalva aneurysm (RSoVA) is a rare disorder that affects the integrity of the cardiovascular system, disrupting its dynamics and resulting in a variety of manifestations. In this report, we discuss two cases of RSoVA that we encountered and review similar cases reported in the literature.
METHODS
literature review of reported cases of RSoVA in PubMed and Google Scholar.
RESULTS
A total of 223 cases were found and the final analysis included 225 cases, of which 69% occurred in males and the mean age was 38.9 years. Dyspnea was the most common presenting symptom and 76% of the cases described continuous murmur on examination. The right sinus was affected in 61% of the cases and the fistula connected to the right chambers of the heart 73% of the time.
CONCLUSION
RSoVA is a rare condition that is difficult to diagnose, it should be considered in the right context, particularly in young patients with symptoms of heart failure and the presence of continuous murmur on cardiac examination.
背景
瓦氏窦瘤破裂（RSoVA）是一种罕见的疾病，会影响心血管系统的完整性，破坏其动态平衡，导致多种表现。本报告讨论了我们遇到的两例 RSoVA 病例，并回顾了文献中报道的类似病例。
方法
在 PubMed 和 Google Scholar 上对 RSoVA 的病例报告进行文献回顾。
结果
共发现 223 例病例，最终分析包括 225 例，其中 69%发生在男性，平均年龄为 38.9 岁。呼吸困难是最常见的首发症状，76%的病例在检查时描述有连续性杂音。61%的病例累及右窦，73%的瘘管连接到右心腔。
结论
RSoVA 是一种罕见的疾病，诊断困难，应在适当的背景下考虑，特别是在有心力衰竭症状和心脏检查时存在连续性杂音的年轻患者中。
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