Guía J M, Castro F J, de la Peña J, Gracián M
Sección de Cardiología Pediátrica, Hospital Infantil Virgen de la Arrixaca, Murcia.
Rev Esp Cardiol. 1995 Mar;48(3):202-4.
Congenital aneurysm of the sinus of Valsalva is an uncommon entity. Its diagnosis is rare in infancy because most cases are asymptomatic. This condition is usually detected in adults as incidental finding or a complication due to aneurysm. We report a five-year-old asymptomatic child, with a congenital unruptured aneurysm of the right sinus of Valsalva. It was diagnosed on two-dimensional and Doppler echocardiography, and confirmed by angiography showing an aortic regurgitation. The aim of this publications is to report another case of this rare condition in pediatric cardiology, which real importance is probably subestimated because of unusual clinical manifestation. Nevertheless, the increasing use of the two-dimensional and Doppler echocardiography will provide much more cases of this entity. Diagnosis and treatment are reviewed as well as bibliography.
瓦氏窦先天性动脉瘤是一种罕见的病症。其在婴儿期的诊断很少见，因为大多数病例无症状。这种情况通常在成人中作为偶然发现或因动脉瘤导致的并发症被检测到。我们报告一例5岁无症状儿童，患有右瓦氏窦先天性未破裂动脉瘤。通过二维和多普勒超声心动图诊断，并经血管造影证实存在主动脉瓣反流。本出版物的目的是报告小儿心脏病学中这种罕见病症的另一病例，由于其临床表现不寻常，其实际重要性可能被低估。然而，二维和多普勒超声心动图的使用增加将发现更多该病症的病例。同时对诊断、治疗及参考文献进行了综述。
