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酷似右冠状动脉缺血的瓦氏窦瘤

Right Sinus of Valsalva Aneurysm Mimicking Right Coronary Artery Ischemia.

作者信息

Bivona Antonio, Caruso Vincenzo, Shah Samir

机构信息

Department of Cardiac Surgery, Guy and St. Thomas' Hospital, London, United Kingdom.

Department of Cardiothoracic Surgery, The Essex Cardiothoracic Centre, Basildon, United Kingdom.

出版信息

Aorta (Stamford). 2020 Oct;8(5):141-143. doi: 10.1055/s-0040-1714056. Epub 2020 Dec 23.

DOI:10.1055/s-0040-1714056
PMID:33368099
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7758111/
Abstract

An aneurysm of a single sinus of Valsalva is rare. It is usually asymptomatic and rarely discovered, unless it compresses the adjacent cardiac structures, or it presents in association with other pathology. We herein describe a case of a male, with known ischemic heart disease, collapsing after sudden back pain. A computed tomography scan demonstrated an aneurysm of the right sinus of Valsalva. The surgical repair aimed to exclude the aneurysm, preserving and reconstructing the aortic root.

摘要

单个瓦尔萨尔瓦窦动脉瘤很少见。它通常无症状，很少被发现，除非它压迫相邻的心脏结构，或者与其他病变同时出现。我们在此描述一例已知患有缺血性心脏病的男性患者，在突发背痛后晕倒。计算机断层扫描显示为右瓦尔萨尔瓦窦动脉瘤。手术修复旨在排除动脉瘤，保留并重建主动脉根部。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2d5/7758111/8ccc246bb17f/10-1055-s-0040-1714056-i190007-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2d5/7758111/4249b32ebac9/10-1055-s-0040-1714056-i190007-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2d5/7758111/8ccc246bb17f/10-1055-s-0040-1714056-i190007-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2d5/7758111/4249b32ebac9/10-1055-s-0040-1714056-i190007-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2d5/7758111/8ccc246bb17f/10-1055-s-0040-1714056-i190007-2.jpg

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Korean Circ J. 2019 Feb;49(2):194-196. doi: 10.4070/kcj.2018.0309.
2
Comparison of reported outcomes with percutaneous versus surgical closure of ruptured sinus of Valsalva aneurysm.经皮与手术闭合瓦氏窦瘤破裂的报告结果比较。
Am J Cardiol. 2015 Feb 1;115(3):392-8. doi: 10.1016/j.amjcard.2014.11.013. Epub 2014 Nov 13.
3
An unusual case of right-sided heart failure caused by giant sinus of Valsalva aneurysm obstructing right ventricular outflow tract.
1例罕见的由巨大瓦氏窦瘤阻塞右心室流出道引起的右侧心力衰竭病例。
Eur Heart J. 2014 Oct 14;35(39):2721. doi: 10.1093/eurheartj/ehu234. Epub 2014 Jun 16.
4
A case report on asymptomatic ascending aortic dissection.无症状升主动脉夹层病例报告
Int J Angiol. 2008 Fall;17(3):155-61. doi: 10.1055/s-0031-1278301.
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Valsalva sinus aneurysms: findings at CT and MR imaging.瓦尔萨尔瓦窦动脉瘤：CT 和磁共振成像的表现。
Radiographics. 2010 Jan;30(1):99-110. doi: 10.1148/rg.301095719.
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