Igata Sachiyo, Hang Calvin T, Lin Andrew Y, Hsu Jonathan, DeMaria Anthony N
Division of Cardiology, Department of Medicine, Sulpizio Cardiovascular Center, University of California at San Diego, San Diego, California.
CASE (Phila). 2023 Jan 7;7(3):89-92. doi: 10.1016/j.case.2022.11.004. eCollection 2023 Mar.
• Ruptured SVA into LA is a rare disorder and has high mortality. • Wide pulse pressure without severe AR is concerning for SVA rupture. • Continuous turbulent Doppler flow by echo can identify the rupture of SVA. • Severe MR without structural valve abnormality raises the possibility of SVA rupture.
• 破裂的窦管交界区(SVA)破入左心房(LA)是一种罕见疾病,死亡率高。
• 无严重主动脉反流(AR)的宽脉压提示窦管交界区破裂。
• 超声心动图显示的连续性湍流多普勒血流可识别窦管交界区破裂。
• 无结构性瓣膜异常的严重二尖瓣反流(MR)增加了窦管交界区破裂的可能性。