Bayada J M, Giordano P, Corneil G, Gibelin P, Jourdan J, Morand P
Service de Médecine Interne, Hôpital La Palmosa, Menton.
Ann Cardiol Angeiol (Paris). 1993 Jun;42(6):305-7.
Tearing of the chordae is a common complication of prolapse of the mitral valve; which becomes increasingly common with age. In contrast, aneurysm of the Valsalva sinus is rare in patients over 65 years of age. The antero-left sinus is an unusual location, but may be complicated by compression of the left coronary artery, which is reported in 16 cases in the literature. The case reported is unusual due to the combination in a 66-year old subject of acute mitral incompetence, due to tearing of the chordae following prolapse of the mitral valve, and an aneurysm pressing on the coronary trunk whilst remaining asymptomatic. Complete correction of the lesions was successfully achieved by surgery.
腱索撕裂是二尖瓣脱垂的常见并发症，且随着年龄增长愈发常见。相比之下，65岁以上患者发生主动脉窦瘤的情况较为罕见。前左窦是一个不寻常的位置，但可能并发左冠状动脉受压，文献中报道了16例。本文报道的病例较为罕见，因为一名66岁患者同时出现了急性二尖瓣反流（因二尖瓣脱垂后腱索撕裂所致）以及一个压迫冠状动脉主干但无症状的动脉瘤。通过手术成功实现了对病变的完全矫正。
