Ali Zafar, Asif Talal, Sheehy Justin P, Jacob Dany, Baweja Paramdeep
University of Kansas Medical Center, Kansas City, KS, USA.
John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA.
Eur J Case Rep Intern Med. 2020 Mar 6;7(4):001499. doi: 10.12890/2020_001499. eCollection 2020.
A ruptured sinus of Valsalva aneurysm as a cause of aorto-atrial fistula is very rare. We present the case of a 53-year-old female who presented with symptoms of acute heart failure and suspicion of an aorto-atrial fistula found on a transthoracic echocardiogram, which was confirmed on transesophageal echocardiography. A coronary angiogram showed normal coronary arteries but confirmed the right aorto-atrial fistula on aortogram. She underwent successful surgical repair of the fistula. Her postoperative echocardiogram showed a normal right atrium and right ventricle with no shunt. A ruptured sinus of Valsalva aneurysm is a devastating event and presents as acute heart failure. Prompt diagnosis and surgical repair is necessary to prevent mortality.
A ruptured sinus of Valsalva aneurysm causing an aorto-atrial fistula can present as acute heart failure.A transthoracic echocardiogram can identify the presence and location of a sinus of Valsalva aneurysm, while a transesophageal echocardiogram can recognize fistulous tract formation. Cardiac magnetic resonance imaging and computed tomography can confirm or better categorize echocardiographic findings.The management of an aorto-atrial fistula is surgical intervention, involving a patch repair.
瓦氏窦瘤破裂导致主动脉 - 心房瘘非常罕见。我们报告一例53岁女性病例，该患者出现急性心力衰竭症状，经胸超声心动图检查怀疑存在主动脉 - 心房瘘，经食管超声心动图检查得以确诊。冠状动脉造影显示冠状动脉正常，但主动脉造影证实存在右主动脉 - 心房瘘。她接受了瘘管的成功手术修复。术后超声心动图显示右心房和右心室正常，无分流。瓦氏窦瘤破裂是一种严重事件，表现为急性心力衰竭。及时诊断和手术修复对于预防死亡至关重要。
瓦氏窦瘤破裂导致主动脉 - 心房瘘可表现为急性心力衰竭。经胸超声心动图可识别瓦氏窦瘤的存在和位置，而经食管超声心动图可识别瘘管形成。心脏磁共振成像和计算机断层扫描可确认或更好地分类超声心动图检查结果。主动脉 - 心房瘘的治疗是手术干预，包括补片修复。
