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一名孕妇发生罕见的瓦氏窦瘤破裂病例。

Unusual case of ruptured sinus of valsalva aneurysm in a pregnant woman.

作者信息

Charfeddine Salma, Abid Dorra, Triki Faten, Abid Leila, Kammoun Samir, Frikha Imed

机构信息

Department of Cardiology, Hedi Chaker University Hospital, Sfax, Tunisia.

Faculty of Medicine, Sfax, Tunisia.

出版信息

Pan Afr Med J. 2017 Aug 10;27:271. doi: 10.11604/pamj.2017.27.271.9741. eCollection 2017.

DOI:10.11604/pamj.2017.27.271.9741
PMID:29187940
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5660324/
Abstract

Sinus of Valsalva aneurysms are extremely rare, and usually of a congenital nature. There are few documented cases of this condition during pregnancy, which renders unclear the therapeutic options. We here report the case of a 26 years old pregnant woman who was referred to our cardiac center for the evaluation of a heart murmur. The two-dimensional transthoracic echocardiography allowed quickly to establishthe diagnosis of a ruptured sinus of Valsalva aneurysm into the right ventricle. A successful surgical correction of the ruptured aneurysm was performed with patch repair.

摘要

瓦氏窦瘤极为罕见,通常为先天性。孕期发生这种情况的病例记载很少,这使得治疗方案尚不清楚。我们在此报告一例26岁孕妇的病例,该孕妇因心脏杂音被转诊至我们的心脏中心。经胸二维超声心动图迅速确诊为瓦氏窦瘤破裂进入右心室。通过补片修补术成功地对破裂的动脉瘤进行了手术矫正。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7941/5660324/b2fd85c49733/PAMJ-27-271-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7941/5660324/26d40d90386f/PAMJ-27-271-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7941/5660324/f97a835b7f67/PAMJ-27-271-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7941/5660324/432fd5d688a4/PAMJ-27-271-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7941/5660324/b2fd85c49733/PAMJ-27-271-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7941/5660324/26d40d90386f/PAMJ-27-271-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7941/5660324/f97a835b7f67/PAMJ-27-271-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7941/5660324/432fd5d688a4/PAMJ-27-271-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7941/5660324/b2fd85c49733/PAMJ-27-271-g004.jpg

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本文引用的文献

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Sinus of valsalva aneurysms: review of the literature and an update on management.主动脉窦瘤:文献综述与治疗进展
Clin Cardiol. 2015 Mar;38(3):185-9. doi: 10.1002/clc.22359. Epub 2015 Mar 10.
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An unusual case of rupture of left sinus of valsalva aneurysm into main pulmonary artery.一例罕见的瓦氏窦瘤破裂入主肺动脉的病例。
Ann Pediatr Cardiol. 2014 Sep;7(3):210-2. doi: 10.4103/0974-2069.140852.
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Surgery for ruptured sinus of Valsalva aneurysm: 25-year experience with 55 patients.主动脉窦瘤破裂的外科治疗:55 例患者 25 年经验。
形成主动脉-心房瘘的瓦氏窦瘤破裂的一种罕见变体:病例报告及文献复习
Eur Heart J Case Rep. 2023 Feb 1;7(2):ytad018. doi: 10.1093/ehjcr/ytad018. eCollection 2023 Feb.
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Successful Outcome of Pregnancy in a Case of Rupture of Sinus of Valsalva Aneurysm: An Interdisciplinary Case Report.瓦氏窦瘤破裂病例的成功妊娠结局:一例多学科病例报告
J Obstet Gynaecol India. 2021 Aug;71(4):440-444. doi: 10.1007/s13224-021-01452-7. Epub 2021 Feb 26.
Eur J Cardiothorac Surg. 2013 Mar;43(3):591-6. doi: 10.1093/ejcts/ezs450. Epub 2012 Aug 3.
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Ruptured sinus of valsalva aneurysm in a pregnant woman.一名孕妇的瓦氏窦瘤破裂
Tex Heart Inst J. 2006;33(1):66-9.
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Echocardiography diagnosis of ruptured congenital right coronary sinus of Valsalva aneurysm into right ventricle.超声心动图诊断先天性瓦氏窦右冠状动脉窦瘤破裂入右心室。
Eur J Echocardiogr. 2006 Oct;7(5):387-9. doi: 10.1016/j.euje.2005.07.013. Epub 2005 Sep 12.
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The pathological anatomy of deficiencies between the aortic root and the heart, including aortic sinus aneurysms.主动脉根部与心脏之间缺损的病理解剖,包括主动脉窦瘤。
Thorax. 1957 Jun;12(2):125-39. doi: 10.1136/thx.12.2.125.
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Sinus of Valsalva aneurysm or fistula: management and outcome.瓦氏窦瘤或瘘管:治疗与结果
Ann Thorac Surg. 1999 Nov;68(5):1573-7. doi: 10.1016/s0003-4975(99)01045-0.
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Rupture of the sinus of Valsalva during pregnancy.妊娠期间主动脉瓣窦破裂
Br Heart J. 1987 May;57(5):490-1. doi: 10.1136/hrt.57.5.490.
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Successful surgical repair of a ruptured aneurysm of the sinus of Valsalva in early pregnancy.妊娠早期成功进行的主动脉窦瘤破裂手术修复
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