Nakano Yusuke, Waseda Katsuhisa, Ando Hirohiko, Tanabe Subaru, Niwa Toru, Amano Tetsuya
Department of Cardiology, Aichi Medical University, Nagakute, Japan.
J Cardiol Cases. 2019 Jul 15;20(4):115-117. doi: 10.1016/j.jccase.2019.06.009. eCollection 2019 Oct.
Sinus of Valsalva rarely ruptures due to congenital causes. When it comes to ruptured sinus of Valsalva combined with quadricuspid aortic valve, no cases have so far been reported in Japan. Here, we describe the case of 32-year-old female who developed ruptured sinus of Valsalva with tumor-like appearance. Some of the cases of ruptured sinus of Valsalva show aorta to right atrial tunnel with a windsock aneurysm looking like a tumor by echocardiography. < Sinus of Valsalva rarely ruptures due to congenital causes such as aortic valve anomalies such as quadricuspid aortic valve. Ruptured sinus of Valsalva sometimes shows tumor-like appearance by echocardiography. In such a case, we need to keep in mind that the sinus of Valsalva with aortic valve anomalies rarely ruptured showing a fistulous pouch-like "windsock" in the edge of aneurysm by echocardiography.>.
瓦尔萨尔瓦窦很少因先天性原因破裂。至于瓦尔萨尔瓦窦破裂合并四叶式主动脉瓣，日本迄今尚无病例报告。在此，我们描述了一名32岁女性出现肿瘤样外观的瓦尔萨尔瓦窦破裂的病例。一些瓦尔萨尔瓦窦破裂的病例通过超声心动图显示为从主动脉到右心房的通道，伴有风袋样动脉瘤，类似肿瘤。<瓦尔萨尔瓦窦很少因先天性原因如四叶式主动脉瓣等主动脉瓣异常而破裂。瓦尔萨尔瓦窦破裂有时通过超声心动图呈现肿瘤样外观。在这种情况下，我们需要记住，伴有主动脉瓣异常的瓦尔萨尔瓦窦很少破裂，超声心动图显示动脉瘤边缘有瘘管样袋状“风袋”。>
