Fritz Ashley V, Boles Kathryn S, Martin Archer Kilbourne
Division of Cardiothoracic Anesthesiology, Mayo Clinic Florida, Jacksonville, FL, USA.
Ann Card Anaesth. 2018 Jul-Sep;21(3):313-314. doi: 10.4103/aca.ACA_229_17.
We present the case of a 37 year old male who presented with new onset dyspnea, tachycardia, palpitations, and chest tightness. His initial work up demonstrated a dilated pulmonary artery with reflux of contrast dye in to the IVC. Transthoracic echocardiogram identified a "windsock" appearance indicating Sinus of Valsalva aneurysm (SVA) and severe aortic regurgitation. As a result, the patient was taken for emergent surgery where the windsock tissue was surgically repaired with bovine pericardial patch. This case illuminates the uncommon occurrence of SVA and the ability to recognize these findings on multiple imaging modalities including transthoracic, transesophageal two and three dimensional echocardiography as well as direct surgical field visualization.
我们报告一例37岁男性病例，该患者出现新发呼吸困难、心动过速、心悸和胸闷。其初步检查显示肺动脉扩张，造影剂反流至下腔静脉。经胸超声心动图显示出“风袋”样外观，提示瓦尔萨尔瓦窦瘤（SVA）和严重主动脉瓣反流。因此，该患者接受了急诊手术，术中用牛心包补片对风袋样组织进行了手术修复。本病例阐明了SVA的罕见情况以及通过多种成像方式（包括经胸、经食管二维和三维超声心动图以及直接手术视野可视化）识别这些发现的能力。
