Takahashi Nozomi, Nakada Taka-Aki, Oda Shigeto
Department of Emergency and Critical Care Medicine Chiba University Graduate School of Medicine Chiba Japan.
Acute Med Surg. 2019 Jan 28;6(2):185-187. doi: 10.1002/ams2.386. eCollection 2019 Apr.
Pseudoaneurysm of the sinus of Valsalva (PSV) caused by trauma is rare. Surgical intervention is the standard treatment approach for traumatic PSV, as it has a high risk of rupture and is potentially fatal.We hereby report a 59-year-old man with traumatic PSV due to a traffic accident. Imaging studies revealed traumatic PSV. However, he refused surgery due to the lack of symptoms and was discharged on day 9. Two years later, he visited our hospital with cardiac failure due to severe aortic valve regurgitation (AR) induced by PSV.
A Bentall operation was carried out and the patient was discharged without any complications.
This case illustrates progression to aortic valve regurgitation as a complication of traumatic PSV and stresses the point that surgical intervention should be considered even in asymptomatic cases of traumatic PSV.
由外伤引起的瓦氏窦假性动脉瘤（PSV）较为罕见。手术干预是创伤性PSV的标准治疗方法，因为其破裂风险高且可能致命。我们在此报告一名59岁因交通事故导致创伤性PSV的男性。影像学检查显示为创伤性PSV。然而，由于无症状，他拒绝手术并于第9天出院。两年后，他因PSV引起的严重主动脉瓣反流（AR）导致心力衰竭前来我院就诊。
进行了Bentall手术，患者出院时无任何并发症。
本病例说明了创伤性PSV的并发症可进展为主动脉瓣反流，并强调即使是无症状的创伤性PSV病例也应考虑手术干预这一点。
