Sinus of Valsalva Aneurysm with Rupturing into the Right Atrium-A Case Report and Review of the Literature

右主動脈竇動脈瘤破裂至右心房－病例報告及文獻回顧

張釗監(Chao-Chien Chang) ； 秦志輝(Chih-Hui Chin) ； 陳孟麟(Meng-Ling Chen) ； 陳瑞雄(Thay-Hsiung Chen) ； 羅鴻舜(Hung-Shun Lo)

《Acta Cardiologica Sinica》 22卷2期 (2006/06) Pp. 96-101

摘要

主動脈竇動脈瘤是少見的，大都破裂後才被發現。一位44歲男性，有3個月心悸及運動時呼吸困難病史，心臟聽診在胸骨左緣聽到“去返性”心雜音，心電圖顯示心室性期外收縮，胸前及經食道超音波發現右主動脈竇動脈瘤破裂至右心房，主動脈攝影確定右主動脈竇動脈瘤破裂至右心房，冠狀動脈攝影是正常的。患者於開心手術中接受動脈瘤開口縫合，患者術後狀況良好。

關鍵字

主動脈竇動脈瘤 ； 右心房 ； 胸前心臟超音波 ； 經食道心臟超音波

並列摘要

Sinus of Valsalva aneurysm accounts for only 1% of congenital cardiac anomalies. Sinus of Valsalva aneurysm can cause aortic insufficiency, coronary artery flow compromise, cardiac arrhythmia, or aneurysm rupture. A 44-year-old male presented with a 3-month history of palpitation and exertional dyspnea. Cardiac auscultation revealed a grade Ⅲ/Ⅵ ”to and fro” murmur along the left sternal border. Electrocardiography showed ventricular bigeminy. Transthoracic and transesophageal echocardiography revealed an aneurysm of the right sinus of Valsalva rupturing into the right atrium. Aortography also confirmed the presence of an aneurysm of the right coronary sinus, extending into the right atrium. The patient underwent open heart surgery to close the ostium of the aneurysm and to suture the right atrial fistula directly. The patient was well upon follow-up after the operation.

並列關鍵字

Sinus of Valsalva aneurysm ； Right atrium ； Transthoracic echocardiography ； Transesophageal echocardiography