Defraigne J O, Dekoster G, Demoulin J C, Limet R
Services de Chirurgie Cardio-Vasculaire, Centre Hospitalier Universitaire, Sart Tilman, Liège.
Acta Chir Belg. 1988 Nov-Dec;88(6):369-74.
Intrapericardial ruptured aneurysm of the right anterior sinus of Valsalva. A intrapericardial ruptured aneurysm of the right anterior sinus of Valsalva is presented. An infectious origin was suspected. The aneurysm was treated by plication, which allowed to correct the preoperative insufficiency. Aneurysms of the Valsalva sinus can remain asymptomatic. When they are small, a conservative treatment is conceivable. Many complications can occur: rupture (more often in right cavities), aortic insufficiency, coronary insufficiency, cardiac failure, rhythm disturbances. This complications necessitate a surgical treatment. Aortic valvular replacement is indicated only when the structure of the valve is altered.
心包内瓦氏窦右前窦破裂性动脉瘤。本文报道了一例心包内瓦氏窦右前窦破裂性动脉瘤。怀疑有感染源。该动脉瘤通过折叠术进行治疗，从而纠正了术前的功能不全。瓦氏窦动脉瘤可能无症状。当动脉瘤较小时，可以考虑保守治疗。可能会发生许多并发症：破裂（更多发生在右侧腔室）、主动脉瓣关闭不全、冠状动脉供血不足、心力衰竭、心律失常。这些并发症需要进行手术治疗。仅当瓣膜结构改变时才需要进行主动脉瓣置换。
