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以瓣周血肿为表现的瓦氏窦瘤自发性破裂

Spontaneous Rupture of Sinus of Valsalva Aneurysm Presenting as Perivalvular Hematoma.

作者信息

Sharma Arindam, Yedlapati Neeraja, Bob-Manuel Tamunoinemi, Woods Timothy, Donovan Daniel, Ibebuogu Uzoma N

机构信息

Department of Medicine, University of Tennessee Health Science Center, Memphis, TN, USA.

Department of Medicine, Division of Cardiovascular Diseases, University of Tennessee Health Science Center, Memphis, TN, USA.

出版信息

J Cardiovasc Echogr. 2018 Jul-Sep;28(3):201-203. doi: 10.4103/jcecho.jcecho_6_18.

Abstract

Acute rupture of sinus of Valsalva often presents as an acute emergency with significant hemodynamic compromise whereas contained rupture of sinus of Valsalva with a perivalvular hematoma formation is rarely seen. We describe the case of a 63-year-old male who presented with acute shortness of breath and was found to have rupture of sinus of Valsalva aneurysm (SVA) with a perivalvular hematoma and severe aortic regurgitation. We also review the presentation, diagnosis, and management of SVAs.

摘要

瓦尔萨尔瓦窦急性破裂常表现为急性紧急情况,伴有显著的血流动力学损害,而瓦尔萨尔瓦窦局限性破裂伴瓣周血肿形成则较为罕见。我们描述了一例63岁男性患者,该患者因急性呼吸急促就诊,被发现患有瓦尔萨尔瓦窦瘤(SVA)破裂,伴有瓣周血肿和严重主动脉瓣反流。我们还回顾了SVA的临床表现、诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8595/6172882/e8347bae3f04/JCE-28-201-g001.jpg

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