University of Michigan Hospital, Emergency Department, Ann Arbor, MI 48109, United States; C.S. Mott Children's Hospital, University of Michigan, Emergency Department, Ann Arbor, MI 48109, United States.
C.S. Mott Children's Hospital, University of Michigan, Emergency Department, Ann Arbor, MI 48109, United States; Children's Wisconsin, Medical College of Wisconsin, Emergency Department, Milwaukee, WI 53226, United States.
Am J Emerg Med. 2021 Nov;49:80-82. doi: 10.1016/j.ajem.2021.05.050. Epub 2021 May 20.
This case report describes a rare etiology of cardiogenic shock, particularly in the pediatric population. A healthy 17 year old male presents from an outside hospital in undifferentiated shock requiring vasopressor support. Ruptured sinus of Valsalva aneurysm was diagnosed by echocardiogram and the patient went emergently to the operating room for surgical repair. We discuss the anatomy, incidence, and risk factors for sinus of Valsalva aneurysms, along with the range of clinical presentations and Emergency Department management of symptomatic rupture of sinus of Valsalva aneurysms.
本病例报告描述了一种罕见的心源性休克病因，特别是在儿科人群中。一名健康的 17 岁男性因不明原因休克从外院转入，需要升压药物支持。超声心动图诊断为瓦氏窦动脉瘤破裂，患者紧急转入手术室进行手术修复。我们讨论了瓦氏窦动脉瘤的解剖结构、发病率和危险因素，以及症状性瓦氏窦动脉瘤破裂的临床表现范围和急诊科处理方法。
