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瓦氏窦左冠状动脉窦处囊状动脉瘤的快速扩张：早期手术修复的作用？

Rapid expansion of a saccular aneurysm on the left coronary sinus of Valsalva: a role for early surgical repair?

作者信息

Faillace R T, Greenland P, Nanda N C

出版信息

Br Heart J. 1985 Oct;54(4):442-4. doi: 10.1136/hrt.54.4.442.

DOI:10.1136/hrt.54.4.442
PMID:4052283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC481924/
Abstract

A thirty nine year old woman presented with ischaemic chest pain caused by a saccular aneurysm of the left coronary sinus of Valsalva. Over the next two weeks there was rapid dilatation of the aneurysm which led to left coronary artery compression and death from a massive myocardial infarction. It is suggested that early repair should be considered in patients with saccular aneurysm at this site, but only in the context of other management priorities.

摘要

一名39岁女性因瓦氏窦左冠状动脉囊状动脉瘤出现缺血性胸痛。在接下来的两周内，动脉瘤迅速扩张，导致左冠状动脉受压，最终因大面积心肌梗死死亡。建议对于该部位囊状动脉瘤患者应考虑早期修复，但前提是要结合其他治疗重点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2147/481924/062bee6de76b/brheartj00118-0108-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2147/481924/2a7babd770f5/brheartj00118-0107-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2147/481924/062bee6de76b/brheartj00118-0108-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2147/481924/2a7babd770f5/brheartj00118-0107-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2147/481924/062bee6de76b/brheartj00118-0108-a.jpg

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2
Aneurysm of the left sinus of valsalva: an unusual presentation.主动脉瓣左窦瘤：一种不寻常的表现。
Tex Heart Inst J. 1990;17(3):245-8.
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Unruptured aneurysm of the left sinus of valsalva causing coronary insufficiency: case report and review of the literature.

本文引用的文献

1
Aneurysm of the left aortic sinus causing acute myocardial infarction.左主动脉窦瘤导致急性心肌梗死。
Circulation. 1983 May;67(5):1151-4. doi: 10.1161/01.cir.67.5.1151.
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Aneurysm of the aortic sinus of Valsalva. A case of rupture and myocardial infarction.
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Left-sided valvular active infective endocarditis. A study of forty-five necropsy patients.左侧瓣膜活动性感染性心内膜炎。对45例尸检患者的研究。
左主动脉窦未破裂动脉瘤导致冠状动脉供血不足：病例报告及文献复习
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Chest. 1978 Sep;74(3):312-4. doi: 10.1378/chest.74.3.312.