Ryan T, Markel M L, Waller B F, Armstrong W F, Feigenbaum H
Chest. 1987 Apr;91(4):626-9. doi: 10.1378/chest.91.4.626.
Two-dimensional, pulsed Doppler echocardiographic and pathologic features of an unusual form of ruptured aneurysm of the sinus of Valsalva are presented. The presence of an aneurysm of the left sinus of Valsalva protruding into the left atrium complicating acute aortic valvular endocarditis was detected by two-dimensional echocardiography. Rupture of the aneurysm of the sinus of Valsalva into the left atrial cavity was suggested by pulsed Doppler echocardiography. The size and location of the site of the rupture precluded recognition by two-dimensional echocardiography or contrast angiography. This report illustrates the unique value of pulsed Doppler echocardiography to define the location and direction of intracardiac flow patterns in evaluating patients with an aneurysm of the sinus of Valsalva and suspected rupture.
本文介绍了一种不寻常的瓦氏窦瘤破裂的二维、脉冲多普勒超声心动图及病理特征。二维超声心动图检测到左瓦氏窦瘤突入左心房并合并急性主动脉瓣心内膜炎。脉冲多普勒超声心动图提示瓦氏窦瘤破裂进入左心房腔。破裂部位的大小和位置使得二维超声心动图或造影血管造影无法识别。本报告说明了脉冲多普勒超声心动图在评估瓦氏窦瘤及疑似破裂患者时，对于确定心内血流模式的位置和方向具有独特价值。
