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老年患者巨大未破裂左冠状动脉窦瘤的外科修复：一例报告

Surgical Repair of a Giant Unruptured Left Sinus of Valsalva Aneurysm in an Older Patient: A Case Report.

作者信息

Oki Shinichi, Sato Hirotaka

机构信息

Department of Cardiovascular Surgery Shin-Oyama City Hospital Tochigi Japan.

出版信息

Clin Case Rep. 2024 Nov 15;12(11):e9584. doi: 10.1002/ccr3.9584. eCollection 2024 Nov.

DOI:10.1002/ccr3.9584
PMID:39555207
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11565253/
Abstract

A giant unruptured left sinus of Valsalva aneurysms is extremely rare. Even if asymptomatic, surgical repair should be performed, considering comorbidities, and patient's physical condition. In this case, patch repair with coronary artery bypass, correction of sinotubular junction, and aortic annulus for aortic regurgitation benefited the older patient.

摘要

巨大的非破裂性左瓦尔萨尔瓦窦瘤极为罕见。即便无症状，鉴于合并症及患者身体状况，也应进行手术修复。在此病例中，采用冠状动脉搭桥补片修复、纠正窦管交界及主动脉瓣环以治疗主动脉瓣反流，使这位老年患者获益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa8/11565253/a4f08d0ecd81/CCR3-12-e9584-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa8/11565253/05e7fe202c9c/CCR3-12-e9584-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa8/11565253/72230b82f4d1/CCR3-12-e9584-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa8/11565253/e5e1bffb077b/CCR3-12-e9584-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa8/11565253/c69ab0b4e860/CCR3-12-e9584-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa8/11565253/a4f08d0ecd81/CCR3-12-e9584-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa8/11565253/05e7fe202c9c/CCR3-12-e9584-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa8/11565253/72230b82f4d1/CCR3-12-e9584-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa8/11565253/e5e1bffb077b/CCR3-12-e9584-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa8/11565253/c69ab0b4e860/CCR3-12-e9584-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa8/11565253/a4f08d0ecd81/CCR3-12-e9584-g002.jpg

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1
Surgical Repair of a Giant Unruptured Left Sinus of Valsalva Aneurysm in an Older Patient: A Case Report.老年患者巨大未破裂左冠状动脉窦瘤的外科修复：一例报告
Clin Case Rep. 2024 Nov 15;12(11):e9584. doi: 10.1002/ccr3.9584. eCollection 2024 Nov.
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本文引用的文献

1
Left sinus of Valsalva aneurysm causing acute myocardial infarction with compression of the left main coronary trunk.瓦氏窦瘤破裂致急性心肌梗死并压迫左冠状动脉主干
J Cardiol Cases. 2023 Oct 19;29(1):50-54. doi: 10.1016/j.jccase.2023.10.003. eCollection 2024 Jan.
2
Cardioembolic Stroke in Sinus of Valsalva Aneurysm, A Case Report.升主动脉窦部瘤致心源性脑栓塞 1 例报告
Neurol India. 2023 Sep-Oct;71(5):998-1001. doi: 10.4103/0028-3886.388106.
3
Surgical Management of Giant Unruptured Left Sinus of Valsalva Aneurysm With Severe Aortic Regurgitation.
巨大未破裂的左窦房结瓦尔萨尔瓦动脉瘤伴严重主动脉瓣反流的外科治疗。
Tex Heart Inst J. 2023 Oct 10;50(5). doi: 10.14503/THIJ-23-8134.
4
Sinus of valsalva aneurysm: A single institutional experience with 216 patients over 30 years.主动脉窦瘤：一家机构30年间216例患者的经验。
J Card Surg. 2022 Dec;37(12):4448-4455. doi: 10.1111/jocs.17021. Epub 2022 Oct 11.
5
Case Report: Extrinsic Compression of the Left Main Coronary Artery by a Giant Sinus of Valsalva Aneurysm.病例报告：巨大瓦氏窦瘤对左冠状动脉主干的外在压迫
Front Cardiovasc Med. 2021 Nov 15;8:753154. doi: 10.3389/fcvm.2021.753154. eCollection 2021.
6
Surgical management for unruptured sinus of Valsalva aneurysms: a narrative review of the literature.瓦氏窦未破裂动脉瘤的外科治疗：文献综述
J Thorac Dis. 2021 Mar;13(3):1833-1850. doi: 10.21037/jtd-20-2682.
7
Sinus of Valsalva Aneurysms: A Review with Perioperative Considerations.瓦氏窦动脉瘤：综述及围手术期注意事项。
J Cardiothorac Vasc Anesth. 2021 Nov;35(11):3340-3349. doi: 10.1053/j.jvca.2020.12.016. Epub 2020 Dec 14.
8
Aortic annulus and the importance of annuloplasty.主动脉瓣环及瓣环成形术的重要性。
Indian J Thorac Cardiovasc Surg. 2020 Jan;36(Suppl 1):88-96. doi: 10.1007/s12055-019-00852-9. Epub 2019 Oct 7.
9
Surgical Management of Left Sinus of Valsalva Aneurysm Presenting with Exertional Chest Pain.外科治疗劳力性胸痛的左冠状动脉窦瘤
Braz J Cardiovasc Surg. 2020 Aug 1;35(4):573-576. doi: 10.21470/1678-9741-2019-0437.
10
Emergency valve-sparing aortic root replacement and coronary artery bypass grafting for giant left sinus of Valsalva aneurysm presenting as acute coronary syndrome.急诊保留瓣膜主动脉根部置换术及冠状动脉旁路移植术治疗表现为急性冠状动脉综合征的巨大瓦尔萨尔瓦窦瘤（主动脉窦瘤）
J Thorac Cardiovasc Surg. 2018 Aug;156(2):e81-e84. doi: 10.1016/j.jtcvs.2018.03.009. Epub 2018 Mar 10.