van 't Hof A W, Leicher F G, Schipper C W, Hoorntje J C
Department of Cardiology and Cardiothoracic Surgery, Hospital De Weezenlanden, JW Zwolle, The Netherlands.
Eur J Cardiothorac Surg. 1998 Apr;13(4):481-3. doi: 10.1016/s1010-7940(98)00026-8.
A 36-year-old patient was referred because of fatigue and decreased exercise tolerance 20 years after separate aortic valve replacement and aortic root reconstruction. The presence of a loud systolic ejection murmur and persistent left ventricular hypertrophy led to the diagnosis of severe supravalvular aortic flow obstruction by indirect compression of a large pseudoaneurysm.
一名36岁患者在分别进行主动脉瓣置换和主动脉根部重建20年后,因疲劳和运动耐量下降前来就诊。响亮的收缩期喷射性杂音和持续的左心室肥厚提示,存在一个大型假性动脉瘤间接压迫导致的严重主动脉瓣上血流梗阻。