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一名年轻男性急性腹痛和不明原因呼吸困难的不寻常病因:瓦氏窦瘤

An Unusual Cause of Acute Abdominal Pain and Unexplained Dyspnea in a Young Man: A Sinus of Valsalva Aneurysm.

作者信息

Annabathula Rahul V, Zhou Li, Kincaid Edward H, Stacey Richard B, Vasu Sujethra, Upadhya Bharathi

机构信息

Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina.

Department of Internal Medicine, Section of Cardiovascular Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina.

出版信息

CASE (Phila). 2022 Apr 4;6(4):167-172. doi: 10.1016/j.case.2022.02.005. eCollection 2022 Jun.

DOI:10.1016/j.case.2022.02.005
PMID:35818487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9270674/
Abstract

• SVA is due to weakness of the elastic lamina. • Rupture can lead to right ventricular and right atrial fistulas. • TTE is the first-line imaging modality due to portability, convenience, and accuracy. • Nonstandard views with sweeps are important to define pathologic communications. • TEE is the modality of choice for structural intervention and surgical planning.

摘要

• 室间隔膜部瘤是由于弹性膜薄弱所致。

• 破裂可导致右心室和右心房瘘。

• 经胸超声心动图(TTE)因其便携性、便利性和准确性,是一线成像方式。

• 带有扫查的非标准视图对于确定病理性交通很重要。

• 经食管超声心动图(TEE)是结构干预和手术规划的首选方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f3/9270674/8e484effa3a0/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f3/9270674/7fa83312f261/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f3/9270674/a871c81bfacc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f3/9270674/633c3a1755ec/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f3/9270674/77334f544ebf/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f3/9270674/78e4697c0851/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f3/9270674/e39e950500c2/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f3/9270674/6d2a45e9962e/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f3/9270674/8e484effa3a0/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f3/9270674/7fa83312f261/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f3/9270674/a871c81bfacc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f3/9270674/633c3a1755ec/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f3/9270674/77334f544ebf/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f3/9270674/78e4697c0851/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f3/9270674/e39e950500c2/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f3/9270674/6d2a45e9962e/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f3/9270674/8e484effa3a0/gr7.jpg

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2
Sinus of Valsalva Aneurysm Rupture Associated With a Ventricular Septal Defect: The Importance of Multi-Angle Assessment by Intraoperative Transesophageal Echocardiography.与室间隔缺损相关的瓦氏窦瘤破裂:术中经食管超声心动图多角度评估的重要性
J Cardiothorac Vasc Anesth. 2020 Dec;34(12):3376-3381. doi: 10.1053/j.jvca.2020.07.028. Epub 2020 Jul 12.
3
A Case of Sinus of Valsalva Aneurysm Rupture in a Patient with Bicuspid Aortic Valve.
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