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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.

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/6565/7732558/1640849bd936/10-1055-s-0040-1722099-i180047-1.jpg

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