頁籤選單縮合
題名 | Aneurysm of the Left Sinus of Valsalva with Fistula to the Right Atrium: Report of a Case=左Valsalva氏竇動脈瘤合併通往右心房廔管--一病例報告 |
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作者 | 蔡惟全; 李貽恆; 林立人; 鄧正鎧; 蔡良敏; 黃崔源; 陳志鴻; 楊友任; Tsai, Wei-chuan; Li, Yi-heng; Lin, Li-jen; Teng, Jeng-kai; Tsai, Liang-miin; Huang, Tsuei-yuen; Chen, Jyh-hong; Yang, Yu-jen; |
期刊 | Journal of Medical Ultrasound |
出版日期 | 19980600 |
卷期 | 6:2 1998.06[民87.06] |
頁次 | 頁92-94 |
分類號 | 415.384 |
語文 | eng |
關鍵詞 | 左Valsalva氏竇動脈瘤; 通往右心房廔管; Aneurysm of left sinus of valsalva; Aortico-right atrial fistula; Echocardiography; Aortography; |
英文摘要 | Congenital aneurysm of the left sinus of Valsalva with a fistula draining into the right atrium is rarely seen clinically. We report a case of a 15-year-old girl with this congenital anomaly that was diagnosed by echocardiography and aortography. The patient was asymptomatic but was found incidentally to have a grade Ⅲ / Ⅵ continuous heart murmur at a routine check-up. Transthoracic echocardiograms showed an aneurysmal dilatation of the left sinus of Valsalva with a fistula running posteriorly behind the aortic root and draining into the right atrium. Cardiac catheterization revealed that the calculated pulmonary to systemic flow ratio was 3:1. The left anterior descending and left circumflex arteries arose from the aneurysm with separated orifices. The patient underwent open heart surgery and recovered well. |
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