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一名肝移植候选患者的瓦氏窦瘤破裂进入左心房

Rupture of Sinus of Valsalva Aneurysm into Left Atrium in a Patient who is a Candidate for Hepatic Transplantation.

作者信息

Tosun Veysel, Korucuk Necmettin, Guntekin Unal

机构信息

Department of Cardiology, Sanliurfa Education and Research Hospital, Sanliurfa, Turkey.

Department of Cardiology, Medical Park Hospital, Antalya, Turkey.

出版信息

J Cardiovasc Echogr. 2018 Apr-Jun;28(2):130-132. doi: 10.4103/jcecho.jcecho_8_18.

DOI:10.4103/jcecho.jcecho_8_18
PMID:29911012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5989546/
Abstract

Sinus of valsalva aneurysm (SVA) is a rare cardiac disease. The most common complication of SVA is rupture into the right atrium or right ventricle. Rupture into the left chambers is very rare. Patients with ruptured SVA are likely to die of heart failure or endocarditis. We present a 29-year-old man who was hospitalized for hepatic transplantation with rupture of SVA. Transthoracic echocardiography and transesophageal echocardiography showed rupture of a noncoronary SVA into the left atrium. Mitral valve infective endocarditis developed and surgery was planned for the patient, but the patient died due to multiple organ dysfunction syndrome.

摘要

瓦氏窦瘤(SVA)是一种罕见的心脏疾病。SVA最常见的并发症是破裂进入右心房或右心室。破裂进入左心室则非常罕见。SVA破裂的患者很可能死于心力衰竭或心内膜炎。我们报告一名29岁男性,因SVA破裂而住院接受肝移植。经胸超声心动图和经食管超声心动图显示非冠状动脉SVA破裂进入左心房。患者发生了二尖瓣感染性心内膜炎,计划进行手术,但患者因多器官功能障碍综合征死亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f8b/5989546/2991a98dc995/JCE-28-130-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f8b/5989546/2991a98dc995/JCE-28-130-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f8b/5989546/2991a98dc995/JCE-28-130-g001.jpg

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本文引用的文献

1
Rupture of sinus of Valsalva aneurysm: Two case reports and a concise review of the literature.瓦尔萨尔瓦窦瘤破裂:两例病例报告并文献复习。
Heart Lung. 2018 Mar-Apr;47(2):131-135. doi: 10.1016/j.hrtlng.2017.10.005. Epub 2017 Nov 22.
2
Transthoracic echocardiography versus transesophageal echocardiography for rupture sinus of Valsalva aneurysm.经胸超声心动图与经食管超声心动图在诊断瓦氏窦瘤破裂中的应用比较
Ann Card Anaesth. 2017 Apr-Jun;20(2):245-246. doi: 10.4103/aca.ACA_41_17.
3
Rupture of a noncoronary sinus of Valsalva aneurysm into the left atrium: a rare cause of acute pulmonary edema.
瓦氏窦非冠状动脉窦瘤破裂入左心房:急性肺水肿的罕见原因。
Echocardiography. 2013 Nov;30(10):E315-8. doi: 10.1111/echo.12353. Epub 2013 Sep 6.
4
Sinus of Valsalva aneurysms--47 years of a single center experience and systematic overview of published reports.瓦氏窦瘤——单中心47年经验及已发表报告的系统综述
Am J Cardiol. 2007 Apr 15;99(8):1159-64. doi: 10.1016/j.amjcard.2006.11.047. Epub 2007 Feb 28.
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J Card Surg. 2005 Mar-Apr;20(2):198-204. doi: 10.1111/j.0886-0440.2005.200430.x.
6
Congenital Heart Surgery Nomenclature and Database Project: aortic aneurysm, sinus of Valsalva aneurysm, and aortic dissection.先天性心脏手术命名与数据库项目:主动脉瘤、瓦氏窦瘤和主动脉夹层。
Ann Thorac Surg. 2000 Apr;69(4 Suppl):S147-63. doi: 10.1016/s0003-4975(99)01242-4.
7
Congenital sinus of Valsalva aneurysm: a multiplane transesophageal echocardiographic experience.先天性瓦氏窦瘤:多平面经食管超声心动图检查经验
J Am Soc Echocardiogr. 1997 Nov-Dec;10(9):956-63. doi: 10.1016/s0894-7317(97)80012-0.
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Echocardiographic diagnosis of aneurysm of the sinus of Valsalva.超声心动图诊断瓦氏窦瘤
Am Heart J. 1993 Oct;126(4):930-6. doi: 10.1016/0002-8703(93)90709-i.