Mørk Sivagowry Rasalingam, Eftekhari Ashkan, Tang Mariann, Klaaborg Kaj-Erik
Department of Cardiology, Aarhus University Hospital, Palle Juul-Jensens Blvd. 99, Aarhus N, Denmark.
Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Palle Juul-Jensens Blvd. 99, Aarhus N, Denmark.
Eur Heart J Case Rep. 2019 Jun 1;3(2). doi: 10.1093/ehjcr/ytz053.
Sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly that can be congenital or acquired. Unruptured aneurysms may be asymptomatic but can present as malignant arrhythmias, acute chest pain, and even sudden cardiac death. Both ruptured and unruptured SVAs may have fatal complications, thus prompt diagnosis and surgery is critical.
We report a successful surgical repair of an unruptured aneurysm of the left sinus of Valsalva presenting as acute coronary syndrome. Coronary angiography (CAG) and cardiac multislice computed tomography (CT) revealed a large unruptured aneurysm of the left sinus of Valsalva. Surgical repair was performed by resection of the aneurysm, aortic valve replacement with composite graft, and coronary artery bypass.
Aneurysm of the left sinus of Valsalva is an extremely rare condition. Correct diagnosis can be done by echocardiography, CAG, or CT. Non-ruptured aneurysms should be surgically repaired if they are associated with significant symptoms or if their size enlarge rapidly.
瓦氏窦瘤（SVA）是一种罕见的心脏异常，可为先天性或后天性。未破裂的动脉瘤可能无症状，但可表现为恶性心律失常、急性胸痛，甚至心源性猝死。破裂和未破裂的SVA均可能有致命并发症，因此及时诊断和手术至关重要。
我们报告了一例成功手术修复表现为急性冠状动脉综合征的未破裂左瓦氏窦瘤。冠状动脉造影（CAG）和心脏多层计算机断层扫描（CT）显示左瓦氏窦有一个大的未破裂动脉瘤。通过切除动脉瘤、用复合移植物置换主动脉瓣和冠状动脉搭桥进行手术修复。
左瓦氏窦瘤极为罕见。可通过超声心动图、CAG或CT进行正确诊断。未破裂的动脉瘤如果伴有明显症状或尺寸迅速增大，则应进行手术修复。
