Coralli R J, Olmsted W L, Felner J M
Chest. 1985 Oct;88(4):633-5. doi: 10.1378/chest.88.4.633.
A patient with a ruptured sinus of Valsalva aneurysm (RSVA) demonstrated an unusual two-dimensional echocardiographic manifestation of this entity. A discrete mass of echoes, appearing attached to a posterior leaflet of the tricuspid valve, moved to and fro into the right ventricle during diastole and into the right atrium in systole. This echocardiographic appearance mimics a vegetation of the tricuspid valve, a flail tricuspid leaflet, a right atrial myxoma or a pedunculated right atrial thrombus. Therefore, the differential diagnosis of this echocardiographic finding should include RSVA in addition to the above mentioned disorders.
一名患有瓦氏窦瘤破裂（RSVA）的患者表现出该病症不寻常的二维超声心动图表现。一团离散的回声团块，看似附着于三尖瓣后叶，在舒张期往返于右心室，在收缩期进入右心房。这种超声心动图表现类似于三尖瓣赘生物、连枷样三尖瓣叶、右心房黏液瘤或带蒂右心房血栓。因此，除上述疾病外，这种超声心动图表现的鉴别诊断应包括RSVA。
