Giant sinus of Valsalva aneurysm
Giant sinus of Valsalva aneurysm
复制标题
巨大瓦氏窦动脉瘤
DOI：
10.1111/jocs.12817
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发表时间：
2016-10
影响因子：
1.6
通讯作者：
Wang Jiangang
中科院分区：
文献类型：
--
作者：
Li Yuehuan;Han Jie;Zhu Junmin;Wang Jiangang
一位49岁女性被评估为劳力性呼吸困难。经胸超声心动图（TTE）显示主动脉近端有一个大肿块，与右心房相邻但未压迫右心房（图1A）。主动脉瓣为三尖瓣，伴极轻微关闭不全（图1B）。胸部计算机断层扫描血管造影（CTA）显示一个8.1 × 5.2 cm的囊状动脉瘤，起源于非冠状窦主动脉（SVA），冠状动脉解剖结构正常（图2）。在手术时，切除SVA并用Dacron补片修复缺损（图3）。术后TTE显示主动脉瓣功能正常，CTA显示SVA完全排除（图4）。该患者术后病程简单，目前情况良好。
A 49-year-old female was evaluated for exertional dyspnea. A transthoracic echocardiogram (TTE) revealed a large mass arising from the proximal aorta, abutting but not compressing the right atrium (Figure 1A). The aortic valve was tricuspid with minimal insufficiency (Figure 1B). Thoracic computed tomography angiography (CTA) showed an 8.1 × 5.2 cm saccular aneurysm arising from the noncoronary sinus of Valsalva (SVA), with normal coronary anatomy (Figure 2). At the time of surgery, the SVA was excised and the defect repaired with a Dacron patch (Figure 3). A postoperative TTE showed normal aortic valve function and a CTA showed complete exclusion of the SVA (Figure 4). The patient had an uncomplicated postoperative course and continues to do well.