Matsumoto Y, Kubo T, Tagawa H, Ando H, Higuchi S, Ogata I, Ashihara T, Fukuyama T, Daimaru H, Kume K
Department of Cardiology, Matsuyama Red Cross Hospital.
Kokyu To Junkan. 1993 Sep;41(9):911-5.
A case is presented of unruptured aneurysm of the non coronary sinus of Valsalva, causing involvement of A-V node and right coronary artery compression. The patient was a 68 year-old woman with a complaint of general fatigue. Electrocardiogram showed complete A-V block. Computed tomography showed an aneurysm of the non coronary sinus of Valsalva. A temporary pacemaker was implanted, but the patient developed respiratory failure and heart failure and died. At autopsy, macroscopically disseminated tuberculosis was noted in both lungs and kidneys. Microscopically a tuberculous inflammatory lesion extending into the A-V node was found. We report this rare case with some consideration of the literature.
本文报道一例未破裂的瓦氏非冠状窦动脉瘤，该动脉瘤导致房室结受累及右冠状动脉受压。患者为一名68岁女性，主诉全身乏力。心电图显示完全性房室传导阻滞。计算机断层扫描显示瓦氏非冠状窦动脉瘤。植入了临时起搏器，但患者出现呼吸衰竭和心力衰竭并死亡。尸检时，肉眼可见双肺和双肾有播散性结核病。显微镜下发现结核炎性病变延伸至房室结。我们结合文献对这一罕见病例进行报道。
