Beyer J, Kreuzer E, Klinner W
Thoraxchir Vask Chir. 1977 Dec;25(6):443-50. doi: 10.1055/s-0028-1097076.
Among a total of 6000 patients of the Herzchirurgische Klinik of the University of Munich, 16 patients had an aneurysm of the sinus of Valsalva. Mostly, this was localized in the right sinus, less often in the non-coronary sinus, and only in one case in the left sinus. In 9 patients the aneurysm had ruptured into the right ventricle or into the right atrium. In 2/3 of the cases the aneurysm was associated with a VSD or an acquired malformation of the aortic valve. The diagnosis in part was based on the typical history with a sudden begin of cardiac symptoms secondary to rupture of the aneurysm; however, the most useful diagnostic procedure was the heart catheterization including an angiogram of the aortic root. Surgical treatment led to good early and late results; there was a low operative risk, and complications were rare; however, the prognosis may be less favorable in the presence of an acquired malformation of the aortic valve.
在慕尼黑大学心脏外科诊所的总共6000名患者中，有16例患有瓦尔萨尔瓦窦动脉瘤。大多数情况下，该动脉瘤位于右窦，较少位于无冠窦，仅1例位于左窦。9例患者的动脉瘤已破裂进入右心室或右心房。在2/3的病例中，动脉瘤与室间隔缺损或后天性主动脉瓣畸形有关。部分诊断基于典型病史，即动脉瘤破裂后心脏症状突然发作；然而，最有用的诊断方法是心脏导管检查，包括主动脉根部血管造影。手术治疗取得了良好的早期和晚期效果；手术风险低，并发症罕见；然而，存在后天性主动脉瓣畸形时预后可能较差。
