Matsunaga Yoshikiyo, Suzuki Hiroki, Shikata Fumiaki, Honda Takashi, Hirata Yoichiro, Okamura Toru, Ishikura Kenji, Miyaji Kagami
Department of Cardiovascular Surgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Department of Pediatrics, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Ann Thorac Surg Short Rep. 2023 Aug 16;1(4):674-678. doi: 10.1016/j.atssr.2023.07.012. eCollection 2023 Dec.
Williams syndrome (WS) is a contiguous gene syndrome involving the connective tissue, central nervous system, and cardiovascular disorders, such as supravalvular aortic stenosis (SVAS), pulmonary artery stenosis, and coronary artery anomaly, that carry a risk of sudden death. Although aortic dissection with SVAS in WS is extremely rare, it could be 1 of the triggers of sudden cardiac death. In this case, a patient with WS underwent ascending aorta replacement for aortic dissection that was potentially influenced by infective endocarditis and SVAS repaired by modified Brom aortoplasty.
威廉姆斯综合征(WS)是一种涉及结缔组织、中枢神经系统和心血管系统疾病的连续性基因综合征,如主动脉瓣上狭窄(SVAS)、肺动脉狭窄和冠状动脉异常,这些疾病存在猝死风险。虽然威廉姆斯综合征合并主动脉瓣上狭窄的主动脉夹层极为罕见,但它可能是心源性猝死的触发因素之一。在本病例中,一名患有威廉姆斯综合征的患者因可能受感染性心内膜炎影响的主动脉夹层接受了升主动脉置换术,并通过改良布罗姆主动脉成形术修复了主动脉瓣上狭窄。