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儿童多发性大型未破裂瓦氏窦瘤一例罕见病例。

A Rare Case of Multiple Large Unruptured Sinus of Valsalva Aneurysms in a Child.

作者信息

Vashkeba Volodymyr, Hulitskyi Bohdan, Karpenko Vasyl, Kolch Alla, Shapoval Liudmyla, Stetsenko Lidiia, Maruniak Stepan, Todurov Borys

机构信息

Department of Congenital Heart Surgery, Heart Institute Ministry of Health of Ukraine, Kyiv, Ukraine.

Department of Pediatric Anaesthesiology and Intensive Care Unit, Heart Institute Ministry of Health of Ukraine, Kyiv, Ukraine.

出版信息

World J Pediatr Congenit Heart Surg. 2025 Nov;16(6):858-861. doi: 10.1177/21501351251345790. Epub 2025 Jun 26.

Abstract

Congenital sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly with an incidence ranging from 0.1% to 3.5% of all congenital heart disease. Sinus of Valsalva aneurysm involving more than one sinus of Valsalva is very rare and dangerous. Valve-sparing root replacement is a safe and effective procedure that preserves growth potential for the aortic valve and has some benefits compared with valve replacement. There are limited data on valve-sparing operations in neonates and young children. In this case report, we present the surgical correction of an isolated, unruptured, multiple SVA in a 1.4-year-old child using the Yacoub II valve-sparing procedure.

摘要

先天性瓦尔萨尔瓦窦瘤(SVA)是一种罕见的心脏畸形,在所有先天性心脏病中的发病率为0.1%至3.5%。累及多个瓦尔萨尔瓦窦的瓦尔萨尔瓦窦瘤非常罕见且危险。保留瓣膜的根部置换术是一种安全有效的手术,可保留主动脉瓣的生长潜力,与瓣膜置换相比有一些优势。关于新生儿和幼儿保留瓣膜手术的数据有限。在本病例报告中,我们介绍了使用亚库布II型保留瓣膜手术对一名1.4岁儿童的孤立、未破裂的多发性SVA进行手术矫正的情况。

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