Abohelwa Mostafa, Elmassry Mohamed, Whisenant Ty, Thongtan Thanita, Sethi Pooja
Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas.
Department of Cardiovascular Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas.
Proc (Bayl Univ Med Cent). 2020 Dec 14;34(2):283-285. doi: 10.1080/08998280.2020.1855620.
Sinus of Valsalva aneurysm is a rare aortic root defect that can be dangerous due to its serious complications. It is defined as dilatation of one or more of the aortic valve sinuses. It is usually asymptomatic, and patients rarely present with chest pain, arrhythmias, or heart failure. We report a 29-year-old man who presented with atypical chest pain of 8 months with a normal cardiovascular exam. His laboratory work was unremarkable. Transthoracic echocardiography and transesophageal echocardiography showed a calcified sinus of Valsalva aneurysm arising from the noncoronary cusp. The patient underwent aneurysm repair surgery with no complications, and his chest pain resolved.
瓦氏窦瘤是一种罕见的主动脉根部缺损，因其严重并发症而具有危险性。它被定义为一个或多个主动脉瓣窦的扩张。通常无症状，患者很少出现胸痛、心律失常或心力衰竭。我们报告一名29岁男性，有8个月的非典型胸痛史，心血管检查正常。他的实验室检查无异常。经胸超声心动图和经食管超声心动图显示一个源自无冠瓣的钙化瓦氏窦瘤。该患者接受了瘤体修复手术，无并发症发生，胸痛也得以缓解。
