致命性瓦尔萨尔瓦窦瘤并破入左心室及延伸至室间隔：一项具有挑战性的诊断
Fatal Sinus of Valsalva Aneurysm and Dissection into the Left Ventricle With Extension to the Interventricular Septum: A Challenging Diagnosis.
作者信息
Armenta-Moreno Javier Ivan, Berarducci Joaquin, Garcia-Cardenas Mauricio, Bermudez-Gonzalez Jorge Luis, Armendariz-Ferrari Jose Carlos, Oliva-Cavero Diego Humberto, Keirns Candace, Espinola-Zavaleta Nilda
机构信息
Department of Nuclear Cardiology, National Institute of Cardiology Ignacio Chavez, Mexico City, Mexico.
Cardiology and Echocardiography, Hospital Nacional Hipolito Unanue, Lima, Peru.
出版信息
CASE (Phila). 2021 Oct 22;5(6):358-362. doi: 10.1016/j.case.2021.09.011. eCollection 2021 Dec.
• SVA is a rare condition caused by weakness of elastic lamina. • The right coronary sinus is involved in 67% to 85% of the reported cases. • Clinical features are varied and nonspecific, demanding a high index of suspicion. • Prompt diagnosis with echocardiography is recommended. • Emergent surgical repair should be offered to avoid clinical decompensation.
• 窦管交界动脉瘤（SVA）是一种由弹性层薄弱引起的罕见病症。
• 在已报道的病例中，67%至85%累及右冠状动脉窦。
• 临床特征多样且无特异性，需要高度怀疑。
• 建议通过超声心动图进行快速诊断。
• 应进行紧急手术修复以避免临床失代偿。
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