瓦氏窦动脉瘤破裂：一例儿童病例报告。
Rupture of sinus of Valsalva aneurysm: a case report in a child.
机构信息
Department of Ultrasound, Children's Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical and Research Center of Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Engineering Research Center of Stem Cell Therapy, Chongqing, 400016, China.
Department of Ultrasound, Chongqing General Hospital, Chongqing, China.
出版信息
BMC Cardiovasc Disord. 2022 Apr 9;22(1):158. doi: 10.1186/s12872-022-02603-y.
BACKGROUND
Sinus of Valsalva aneurysm (SVA) is a rare congenital disease that can cause severe clinical presentations when the aneurysm ruptures. Here, we report a rare case of a noncoronary sinus of Valsalva aneurysm with rupture into the right atrium.
CASE PRESENTATION
A 14-year-old Chinese female patient presented viral myocarditis with acute heart failure at the local hospital, and she was finally diagnosed with a noncoronary sinus Valsalva aneurysm with rupture into the right atrium by digital subtraction angiography with cardiac catheterization angiography and echocardiography at our hospital (Children's Hospital of Chongqing Medical University). Percutaneous closure intervention was performed shortly after her diagnosis, and the patient showed good functional recovery.
CONCLUSIONS
We report a case of ruptured sinus of Valsalva aneurysm successfully treated by percutaneous closure, which is an excellent alternative treatment.
背景
瓦氏窦动脉瘤（SVA）是一种罕见的先天性疾病，当动脉瘤破裂时可引起严重的临床表现。在此，我们报告一例罕见的非冠状动脉瓦氏窦动脉瘤破裂并流入右心房。
病例介绍
一名 14 岁的中国女性患者因病毒性心肌炎在当地医院就诊，急性心力衰竭，最终在我院（重庆医科大学附属儿童医院）通过数字减影血管造影术和心导管造影术及超声心动图诊断为非冠状动脉瓦氏窦动脉瘤破裂并流入右心房。诊断后不久即进行了经皮封堵介入治疗，患者功能恢复良好。
结论
我们报告了一例成功经皮封堵治疗的破裂瓦氏窦动脉瘤病例，这是一种极好的治疗选择。
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