瓦萨尔瓦动脉瘤巨大的未破裂的鼻,导致胸痛
Peng Hu1, Zhedong Wan1, Qianhui Sun2
1Department of Cardiovascular Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, #79 Qingchun Road, Hangzhou, 310003, Zhejiang Province, P.R. China.
Journal of cardiothoracic surgery
|April 20, 2024
概括
瓦尔萨尔瓦动脉瘤 (Valsalva aneurysm,SVA) 的巨大的未破裂鼻可以引起心痛. 这一案例凸显了考虑胸痛患者的SVA的重要性,并使用成像用于诊断,手术提供症状缓解.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 医疗成像医学成像
背景情况:
- 瓦尔萨尔瓦鼻动脉瘤 (SVA) 是一种罕见的先天性或获得性心脏异常.
- 除非导致显著的质量效应或破裂,导致心力衰竭或心肌缺血,否则SVA通常是无症状的.
研究的目的:
- 报告一个不寻常的巨型未破裂的SVA病例,导致运动性呼吸障碍和胸痛.
- 要强调心声回声和心脏CT血管学在SVA的诊断实用性.
- 为了突出外科手术对症状性SVA的疗效.
主要方法:
- 一个64岁的女性的病例介绍,她患有运动性呼吸不良和心痛.
- 通过心声学和心脏计算机断层血管学证实了诊断.
- 治疗涉及到大动脉根置换 (本特尔手术).
主要成果:
- 患者出现了三个月的运动性呼吸不良和心痛痛.
- 心声图和心脏CT血管图显示了未破裂的左冠状动脉和非冠状动脉SVA.
- 这些SVA压缩了邻近的冠状动脉,导致心肌缺血.
- 手术性大动脉根置换成功缓解了患者的症状.
结论:
- 来自左冠状动脉鼻的巨大未破裂的SVA是非常罕见的.
- 在对胸痛的差异诊断中应考虑SVA.
- 心声图和冠状动脉CT血管图对于诊断SVA至关重要.
- 对于有症状的SVA患者,强烈建议进行外科手术.
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