Olowoyeye J O, Thadani U, Charrette E J, Salerno T A, Parker J O
Cathet Cardiovasc Diagn. 1980;6(3):285-91. doi: 10.1002/ccd.1810060308.
A subaortic left ventricular aneurysm in a 21-year-old white woman is described. The clinical features were those of moderately severe aortic regurgitation, and the chest x-ray film showed cardiac enlargement with a bulge on the left heart border. Angiography confirmed the presence of gross aortic regurgitation and revealed an aneurysm behind the aortic root. At surgery, the aneurysm was found to be located below the aortic valve ring and communicated with the left ventricle through an ostium of 2.5 cm. Aortic valve replacement and closure of the aneurysmal ostium were carried out successfully.
本文描述了一名21岁白人女性的主动脉瓣下左心室动脉瘤。临床特征为中度严重主动脉瓣反流,胸部X线片显示心脏扩大,左心缘有膨出。血管造影证实存在严重主动脉瓣反流,并显示主动脉根部后方有一个动脉瘤。手术中发现动脉瘤位于主动脉瓣环下方,通过一个2.5厘米的开口与左心室相通。成功进行了主动脉瓣置换和动脉瘤开口闭合术。