Department of Cardiovascular Surgery at West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Heart Surg Forum. 2021 Feb 19;24(1):E188-E190. doi: 10.1532/hsf.3519.
The occurrence of a giant ruptured aneurysm originating from the noncoronary sinus of Valsalva in the right atrium is extremely rare. Herein, a case is presented of a giant ruptured noncoronary sinus of Valsalva aneurysm (SVA) that was protruding into the right atrium, which was almost completely occupied by an aneurysm. A 61-year-old female was referred to the hospital for exertional palpitation and dyspnea. While a surgical repair was performed by resection of the aneurysm and a sinus remodeling with a patch of fresh bovine pericardium, a very rare case was observed. It was a giant ruptured noncoronary sinus of aneurysm that completely occupied the right atrium, which was difficult to distinguish from the coronary aneurysm. It is also believed that various imaging examinations, such as cardiac computed tomography angiogram (CCTA) and transthoracic echocardiogram (TTE), were useful for the diagnosis.
起源于右心房的瓦氏窦非冠状动脉窦的巨大破裂性动脉瘤极为罕见。本文报道了 1 例巨大破裂性瓦氏窦非冠状动脉窦瘤（SVA）突入右心房，几乎完全被动脉瘤占据。1 例 61 岁女性因劳累性心悸和呼吸困难就诊。虽然通过切除动脉瘤和用新鲜牛心包片进行窦整形术进行了手术修复，但观察到了一个非常罕见的病例。这是一个完全占据右心房的巨大破裂性非冠状动脉窦瘤，很难与冠状动脉瘤区分。人们还认为，心脏计算机断层扫描血管造影（CCTA）和经胸超声心动图（TTE）等各种影像学检查有助于诊断。
