Aneurysm of the right sinus of Valsalva dissecting into the interventricular septum - A case report

Jenq Feng Lin, Shih Huang Lee, Jer Young Liou, Ming Jen Lu, Jun Jack Cheng

研究成果: 雜誌貢獻文章同行評審

摘要

Aneurysm of the sinus of Valsalva is rare and usually presents after rupture. Dissection of the interventricular septum by the aneurysm is even more rare. A 50-year-old man presented with a 3-month history of nonproductive cough and exertional dyspnea. Cardiac auscultation revealed a grade III/VI "to and fro" murmur along the left sternal border. Electrocardiography showed intermittent Mobitz type II atrioventricular block. A right posteroseptal accessory pathway was also suspected. Transthoracic and transesophageal echocardiography revealed an aneurysm of the right sinus of Valsalva, dissecting into the interventricular septum, and severe aortic regurgitation, Aortography also confirmed the presence of an aneurysm of the right coronary sinus, extending into the interventricular septum. Selective left coronary arteriography showed 70% stenosis of the proximal left anterior descending artery and collateral vessels from the left circumflex artery to the right coronary artery. The patient underwent open heart surgery to close the ostium of the aneurysm, aortic valve replacement, and coronary bypass grafting of the left anterior descending artery and the right coronary artery. The patient was well upon follow-up after the operation.

原文英語
頁(從 - 到)131-135
頁數5
期刊Acta Cardiologica Sinica
18
發行號3
出版狀態已發佈 - 9月 2002
對外發佈

ASJC Scopus subject areas

  • 心臟病學與心血管醫學

指紋

深入研究「Aneurysm of the right sinus of Valsalva dissecting into the interventricular septum - A case report」主題。共同形成了獨特的指紋。

引用此