Tan Yuying, Xu Hui, Gao Yongsheng, Zhang Chengbin, Wang Baogang, Wang Xiaocong
Department of Echocardiography, The First Hospital of Jilin University, Jilin, China.
Department of Cardiac Surgery, The First Hospital of Jilin University, Jilin, China.
Echocardiography. 2018 Sep;35(9):1467-1470. doi: 10.1111/echo.14058. Epub 2018 Jun 19.
Aneurysms of the aortic sinus are well-known clinical entities that can bulge into adjacent heart chambers or vessels. They usually reside in the right ventricle and very rarely bulge into the left ventricle causing mitral valve deformation. A 47-year-old man was admitted for shortness of breath and chest pain after exertion. He was diagnosed with a noncoronary sinus of Valsalva aneurysm bulging into the mitral valve's anterior leaflet. The aortic valve and mitral valve annulus were severely damaged and irreparable. A Bentall procedure and mechanical mitral valve replacement were performed. The patient recovered uneventfully and was discharged 11 days later.
主动脉窦瘤是一种众所周知的临床病症，可向相邻的心脏腔室或血管膨出。它们通常位于右心室，极少向左心室膨出导致二尖瓣变形。一名47岁男性因运动后气短和胸痛入院。他被诊断为一个无冠瓣窦瘤向二尖瓣前叶膨出。主动脉瓣和二尖瓣环严重受损且无法修复。实施了Bentall手术和机械二尖瓣置换术。患者恢复顺利，11天后出院。
