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瓦尔萨尔瓦窦瘤破裂导致肺栓塞：一种罕见的关联。

Ruptured Aneurysm of the Sinus of Valsalva Causing Pulmonary Embolism: A Rare Association.

作者信息

Barroso Francisco V C, Takakura Isabela T, Reis Ricardo C, Valente Acrisio S, Lima Neiberg A, Gomes Camila R F, Justo Neto Júnior José, Sobrinho Carlos R M Rodrigues

机构信息

Department of Cardiology and Cardiovascular Surgery, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil.

School of Medicine, University of Fortaleza (UNIFOR), Fortaleza, Ceará, Brazil.

出版信息

Aorta (Stamford). 2020 Aug;8(4):107-110. doi: 10.1055/s-0040-1722099. Epub 2020 Dec 11.

DOI:10.1055/s-0040-1722099
PMID:33307591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7732558/
Abstract

Aneurysms of the sinus of Valsalva are rare. Unruptured sinus of Valsalva aneurysm is usually asymptomatic and rarely presents as right ventricular outflow obstruction, myocardial infarction as a result of coronary artery compression, conduction disturbances, or endocarditis. They have only been reported as the presumed source of embolism in six cases. We report a patient with right sinus of Valsalva rupture to the right atrium and embolization of aneurysm contents to the pulmonary vasculature.

摘要

瓦氏窦瘤罕见。未破裂的瓦氏窦瘤通常无症状，很少表现为右心室流出道梗阻、冠状动脉受压导致的心肌梗死、传导障碍或心内膜炎。仅有6例报告称其可能为栓子来源。我们报告1例右瓦氏窦破裂入右心房且瘤内容物栓塞至肺血管系统的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6565/7732558/85dc0928a2a4/10-1055-s-0040-1722099-i180047-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6565/7732558/1640849bd936/10-1055-s-0040-1722099-i180047-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6565/7732558/f161d11231f8/10-1055-s-0040-1722099-i180047-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6565/7732558/85dc0928a2a4/10-1055-s-0040-1722099-i180047-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6565/7732558/1640849bd936/10-1055-s-0040-1722099-i180047-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6565/7732558/f161d11231f8/10-1055-s-0040-1722099-i180047-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6565/7732558/85dc0928a2a4/10-1055-s-0040-1722099-i180047-3.jpg

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Hidden behind the mask: misdiagnosis of a ruptured sinus of Valsalva aneurysm in a young male patient-a case report and review of literature.面具背后：一名年轻男性患者瓦尔萨尔瓦窦瘤破裂的误诊——病例报告及文献综述
J Med Case Rep. 2025 Apr 7;19(1):163. doi: 10.1186/s13256-025-05143-z.

本文引用的文献

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Rapid growth of thrombus formation in the unruptured sinus of Valsalva aneurysm following coronary angiography.冠状动脉造影术后未破裂的瓦氏窦瘤内血栓形成迅速增长。
J Echocardiogr. 2018 Dec;16(4):182-184. doi: 10.1007/s12574-018-0378-4. Epub 2018 Apr 5.
2
Clinical outcomes of percutaneous or surgical closure of ruptured sinus of Valsalva aneurysm.经皮或手术闭合瓦氏窦瘤破裂的临床结果。
Congenit Heart Dis. 2018 Mar;13(2):305-310. doi: 10.1111/chd.12572. Epub 2018 Feb 5.
3
Rupture of sinus of Valsalva aneurysm: Two case reports and a concise review of the literature.
瓦尔萨尔瓦窦瘤破裂：两例病例报告并文献复习。
Heart Lung. 2018 Mar-Apr;47(2):131-135. doi: 10.1016/j.hrtlng.2017.10.005. Epub 2017 Nov 22.
4
Is the Sac Waiting to Rupture? Sinus of Valsalva Aneurysm.窦部是否即将破裂？瓦氏窦瘤
Aorta (Stamford). 2016 Jun 1;4(3):105-107. doi: 10.12945/j.aorta.2016.15.027. eCollection 2016 Jun.
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Embolic Stroke Due to Sinus of Valsalva Aneurysm Thrombus.主动脉窦瘤血栓导致的栓塞性卒中
Am J Med Sci. 2016 Sep;352(3):333-4. doi: 10.1016/j.amjms.2016.05.033. Epub 2016 Jun 3.
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A rare cause of sudden dyspnea and unexpected death in adolescence: fistula from aortic sinus of Valsalva to right atrium.青少年突发呼吸困难和意外死亡的罕见原因：从主动脉窦至右心房的瘘管。
Int J Clin Exp Med. 2014 Sep 15;7(9):2945-7. eCollection 2014.
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Sinus of Valsalva thrombosis causing peripheral embolism.瓦氏窦血栓形成导致外周栓塞。
Turk Kardiyol Dern Ars. 2011 Jan;39(1):52-4.
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Thrombosed aneurysm of the left sinus of Valsalva.瓦氏窦左窦血栓性动脉瘤
Rev Port Cardiol. 2008 Apr;27(4):485-91.
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Images in cardiovascular medicine. Sinus of Valsalva aneurysms: a unique case of giant aneurysms involving all 3 sinuses.心血管医学影像。瓦氏窦瘤：累及所有三个窦的巨大动脉瘤的罕见病例。
Circulation. 2008 Apr 15;117(15):e308-11. doi: 10.1161/CIRCULATIONAHA.107.730325.
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Sinus of Valsalva thrombosis causing renal infarction.瓦氏窦血栓形成导致肾梗死。
Intern Med. 2006;45(15):909-12. doi: 10.2169/internalmedicine.45.1634. Epub 2006 Sep 1.