Matta Abhishek, Nagabandi Arun K, Bande Dinesh
Internal Medicine, University of North Dakota School of Medicine, Fargo, USA.
Interventional Cardiology, Pikeville Medical Center, Pikeville, USA.
Cureus. 2020 Sep 5;12(9):e10263. doi: 10.7759/cureus.10263.
A 35-year-old woman without any history of congenital heart disease presented to our clinic with dyspnea on exertion. Transthoracic echocardiogram (TTE) showed an eccentric tricuspid regurgitant jet and increased right ventricular systolic pressure. Transesophageal echocardiogram (TEE) revealed a sinus of Valsalva aneurysm (SVA) arising from the noncoronary sinus that ruptured into the right atrium, leading to the formation of an aorto-right atrial fistula. Right heart catheterization confirmed left to right shunt. The fistulous tract was resected, and the aneurysm repaired surgically. The patient made a good recovery.
一名35岁无先天性心脏病病史的女性因劳力性呼吸困难前来我院就诊。经胸超声心动图（TTE）显示偏心性三尖瓣反流束及右心室收缩压升高。经食管超声心动图（TEE）显示一个源于无冠窦的瓦氏窦瘤（SVA）破裂入右心房，导致主动脉-右心房瘘形成。右心导管检查证实存在左向右分流。切除瘘管并手术修复动脉瘤。患者恢复良好。
