瓦氏窦动脉瘤：综述及围手术期注意事项。
Sinus of Valsalva Aneurysms: A Review with Perioperative Considerations.
机构信息
Department of Anesthesiology, Washington University in St. Louis, St. Louis, MO.
Department of Anesthesiology, Washington University in St. Louis, St. Louis, MO.
出版信息
J Cardiothorac Vasc Anesth. 2021 Nov;35(11):3340-3349. doi: 10.1053/j.jvca.2020.12.016. Epub 2020 Dec 14.
Abstract
The sinuses of Valsalva are outpouchings in the aortic root just distal to the aortic valve that serve several physiologic functions. Aneurysm of this segment of the aorta is quite rare and infrequently encountered in clinical practice. Due to the rarity of sinus of Valsalva aneurysms, there is a lack of controlled trials and most of the literature consists of case reports and series. Here, the authors review the currently available literature to discuss the anatomy and normal function of the aortic root, as well as disease pathology and diagnostic imaging considerations. Using reported cases, the authors also will discuss considerations for cardiac anesthesiologists in the perioperative period.
摘要
瓦氏窦是主动脉根部紧邻主动脉瓣的外凸，具有多种生理功能。该节段主动脉瘤非常罕见，在临床实践中很少遇到。由于瓦氏窦动脉瘤罕见，因此缺乏对照试验，大多数文献都是病例报告和系列报告。在这里，作者回顾了目前可用的文献，讨论了主动脉根部的解剖结构和正常功能，以及疾病病理和诊断成像的注意事项。作者还将使用已报道的病例讨论心脏麻醉师在围手术期的注意事项。
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