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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.

DOI:10.1016/j.case.2021.09.011
PMID:34993363
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8712994/
Abstract

• 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.

摘要

• 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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d35/8712994/afd4a83185ac/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d35/8712994/60969aafc418/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d35/8712994/238558b464dc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d35/8712994/958714cf5295/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d35/8712994/287cc01d343e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d35/8712994/99113dc09951/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d35/8712994/2b3f8353940a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d35/8712994/afd4a83185ac/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d35/8712994/60969aafc418/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d35/8712994/238558b464dc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d35/8712994/958714cf5295/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d35/8712994/287cc01d343e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d35/8712994/99113dc09951/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d35/8712994/2b3f8353940a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d35/8712994/afd4a83185ac/gr6.jpg

相似文献

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Fatal Sinus of Valsalva Aneurysm and Dissection into the Left Ventricle With Extension to the Interventricular Septum: A Challenging Diagnosis.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
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本文引用的文献

1
A case series of ventricular cystic masses.一组心室囊性肿块病例
Eur Heart J Case Rep. 2020 Dec 7;4(6):1-7. doi: 10.1093/ehjcr/ytaa439. eCollection 2020 Dec.
2
Surgical Repair of a Sinus of Valsalva Aneurysm: A 22-Year Single-Center Experience.外科修复瓦氏窦动脉瘤：22 年单中心经验。
Thorac Cardiovasc Surg. 2021 Jan;69(1):26-33. doi: 10.1055/s-0039-1692660. Epub 2019 Jul 12.
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Sinus of valsalva aneurysms: review of the literature and an update on management.主动脉窦瘤：文献综述与治疗进展
Clin Cardiol. 2015 Mar;38(3):185-9. doi: 10.1002/clc.22359. Epub 2015 Mar 10.
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Rupture of right coronary sinus of Valsalva aneurysm into right ventricle.右冠状动脉窦 Valsalva 瘤破裂并进入右心室。
Neth Heart J. 2010 Apr;18(4):209-11. doi: 10.1007/BF03091763.
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Surgery for sinus of valsalva aneurysm: 27-year experience with 100 patients.主动脉窦瘤手术：100例患者的27年经验
Asian Cardiovasc Thorac Ann. 2008 Oct;16(5):361-5. doi: 10.1177/021849230801600504.
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Aneurysms of the sinuses of Valsalva.瓦氏窦瘤
Cardiology. 2006;106(2):73-81. doi: 10.1159/000092635. Epub 2006 Apr 12.
7
Ruptured aneurysm of the right sinus of valsalva associated with a ventricular septal defect and an anomalous coronary artery.与室间隔缺损及冠状动脉异常相关的右主动脉窦瘤破裂
Tex Heart Inst J. 2005;32(4):555-9.
8
Sixteen-slice computed tomography, transthoracic real-time 3-dimensional echocardiography and magnetic resonance imaging assessment of a long-term survivor of rupture of sinus of valsalva aneurysm.16层计算机断层扫描、经胸实时三维超声心动图及磁共振成像对瓦氏窦瘤破裂长期存活者的评估
Intern Med. 2005 May;44(5):513-5. doi: 10.2169/internalmedicine.44.513.
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Natural history of subarterial infundibular ventricular septal defect.动脉下漏斗部室间隔缺损的自然病史。
Am Heart J. 1984 Nov;108(5):1312-7. doi: 10.1016/0002-8703(84)90759-2.