主动脉右冠窦瘤破裂致完全性心脏传导阻滞1例

李金洁; 谭雄; 金伟涛; 刘勇; 张建; 王亮; 赖应龙

doi:10.13201/j.issn.1001-1439.2023.03.016

主动脉右冠窦瘤破裂致完全性心脏传导阻滞1例

- 1.
  川北医学院附属医院手术中心(四川南充，637000)
- 2.
  川北医学院附属医院心脏大血管外科
基金项目:
“西部之光”项目(No：[2020]82)；四川省科技厅项目(No：2022YFS0365)；四川省南充市科技局市校合作科研项目(No：19SXH20431)；川北医学院附属医院院内课题(No：2021JC050)

详细信息

通讯作者: 赖应龙，E-mail：laiyinglong2000@163.com

中图分类号: R541.7

收稿日期: 2022-08-27

刊出日期: 2023-03-13

Complete heart block caused by ruptured right coronary sinus of Valsalva aneurysm: a case report

- 1.
  Operation Center, Affiliated Hospital of North Sichuan Medical University, Nanchong, Sichuan, 637000, China
- 2.
  Department of Cardiac Surgery, Affiliated Hospital of North Sichuan Medical University

More Information

Corresponding author: LAI Yinglong, E-mail: laiyinglong2000@163.com

Received Date: 27 August 2022

Publish Date: 13 March 2023

摘要

摘要: 主动脉窦破裂常累及主动脉右冠窦，其次是主动脉无冠窦、主动脉左冠窦。本文报告1例主动脉右冠窦瘤破裂致完全性心脏传导阻滞患者，对其临床表现、诊断以及治疗方法进行分析。
- Valsalva动脉瘤 /
- 破裂 /
- 完全性心脏传导阻滞
Abstract: Aortic sinus rupture usually involves the right coronary sinus of the aorta, followed by aortic acoronary sinus and aortic left coronary sinus. One case of complete heart block caused by rupture of aortic right coronary sinus tumor was reported. His clinical manifestations, diagnosis and treatment were analyzed.
- Valsalva aneurysm /
- break /
- complete heart block

HTML全文

图 1 患者心电图、影像学及手术图

Figure 1. Electrocardiogram, imaging and surgical images of the patient

下载: 全尺寸图片幻灯片

参考文献(12)

[1]	Hussain S, Qadir F, Sheeraz P, et al. Un-ruptured non-coronary sinus of valsalva aneurysm with complete heart block[J]. Pak J Med Sci, 2017, 33(6): 1531-1533.
[2]	Encarnacion CO, Loranger AM, Bharatkumar AG, et al. Bacterial endocarditis caused by lactobacillus acidophilus leading to rupture of sinus of valsalva aneurysm[J]. Tex Heart Inst J, 2016, 43(2): 161-164. doi: 10.14503/THIJ-15-5121
[3]	Bansal RC, Wangsnes KM, Bailey L. Right aortic sinus of Valsalva-to-right ventricle fistula complicating bacterial endocarditis of membranous ventricular septal defect: evaluation by two-dimensional, color flow, and Doppler echocardiography[J]. J Am Soc Echocardiogr, 1993, 6(3 Pt 1): 308-311.
[4]	Lillehei CW, Stanley P, Varco RL. Surgical treatment of ruptured aneurysms of the sinus of Valsalva[J]. Ann Surg, 1957, 146(3): 459-472. doi: 10.1097/00000658-195709000-00014
[5]	Jaswal V, Kumar V, Thingnam SKS, et al. Surgical repair of ruptured sinus of Valsalva aneurysm: 13-year single center experience[J]. J Card Surg, 2021, 36(4): 1264-1269. doi: 10.1111/jocs.15358
[6]	Giambruno V, Cucchietti C, Pisano C, et al. Alternative surgical approach to repairing a giant sinus of valsalva aneurysm[J]. Tex Heart Inst J, 2016, 43(1): 43-45. doi: 10.14503/THIJ-15-5108
[7]	Yang K, Luo X, Tang Y, et al. Comparison of clinical results between percutaneous closure and surgical repair of ruptured sinus of Valsalva aneurysm[J]. Catheter Cardiovasc Interv, 2021, 97(3): E354-E361.
[8]	庞乃栋, 王睿. 左束支起搏的临床应用和研究进展[J]. 临床心血管病杂志, 2021, 37(5): 488-491. https://www.cnki.com.cn/Article/CJFDTOTAL-LCXB202105019.htm
[9]	李景东, 宣佰军. 遗传性房室传导阻滞的当前认识[J]. 临床心血管病杂志, 2021, 37(3): 193-196. https://www.cnki.com.cn/Article/CJFDTOTAL-LCXB202103001.htm
[10]	Bocchino PP, Fasano R, Fortuni F, et al. Transient complete atrioventricular block due to rupture of the right sinus of Valsalva[J]. Circ Cardiovasc Imaging, 2021, 14(8): e012708. doi: 10.1161/CIRCIMAGING.121.012708
[11]	Wang L, Lin S, Su G. An unusual cause of ST-segment elevation in lead aVR[J]. JAMA Intern Med, 2022, 182(4): 442-443. doi: 10.1001/jamainternmed.2021.8532
[12]	Fennich H, Doghmi N, Rim F, et al. Spontaneous rupture of right aortic sinus of Valsalva leading to massive cystic dissection of interventricular septum and complete heart block[J]. Echocardiography, 2018, 35(12): 2109-2112. doi: 10.1111/echo.14166