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- Unruptured Aneurysm of Sinus of Valsalva with Right Ventricular Outflow Tract Obstruction
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題名 | Unruptured Aneurysm of Sinus of Valsalva with Right Ventricular Outflow Tract Obstruction=未破裂主動脈竇瘤合併右心室出口狹窄 |
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作者 | 黃建富; 梁啟迪; 張仁平; 刁茂盟; | 書刊名 | 長庚醫學 |
卷期 | 24:11 2001.11[民90.11] |
頁次 | 頁746-750 |
分類號 | 416.26 |
關鍵詞 | 主動脈竇瘤; 心室中隔缺損; 右心室出口狹窄; Aneurysm of sinus of valsalva; Ventricular septal defect; Right ventricular outflow tract obstruction; |
語文 | 英文(English) |
中文摘要 | 主動脈竇瘤(aneurysm of sinus of Valsalva)為一少見之心臟異常,其原因包括先天性或後天性;兒科病童大部分為先天性造成。它常合併其他先天性心臟病,尤其是心室中隔缺損最常見。就病理學方面來說,引起的成因主要是局部彈性纖維的缺損。在主動脈竇瘤未破裂前,病患通常沒有症狀。我們在此提出一位十四歲罕見病患,因為心室中隔缺損合併未破裂之主動脈竇瘤,進而造成右心室出口狹窄。他有心衰竭和活動時呼吸困難的症狀達兩個月之久,經心臟超音波、血管攝影術、和開刀證實有上述疾病後,於手術時將心室中隔缺損修補並將主動脈竇瘤切除。在外科手術治療後,心衰竭和呼吸困難的症狀立即獲得改善。病童在術後經過三年的追?期間,其心功能仍維持正常。 |
英文摘要 | Aneurysm of the sinus of Valsalva (ASV) is a rare anomaly. It may be congenital or acquired basis. In pediatric patients, most are congenital in origin. It is frequently associated with other congenital disease, most frequently ventricular septal defect (VSD). Pathologically, this is due to the total absence of normal elastic fibers. Patients with ASV are generally asymptomatic unless aneurysm rupture occurs. Unruptured ASV with right ventricular outflow tract (RVOT) obstruction is very rare. Herein we describe an unusual ASV with RVOT obstruction associated with VSD in a 14-year-old boy. He had experienced heart failure and exertional dyspnea for 2 months. The diagnosis was made by echocardiography, angiography and surgery. After surgical repair of the VSD and resection of the ASV, dyspnea and heart failure were relieved. The patient remained well during the 3years of follow-up. |
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