背景:Valsalva动脉瘤窦(SOVA),罕见的心脏畸形,通常是先天性的,很少获得,最常见于右冠状窦中。SOVA患者的临床表现各不相同。当它没有破裂时通常是无症状的,当它压缩相邻的结构或破裂时,会导致心力衰竭或休克,此时通常需要紧急手术干预。怀孕期间Valsalva动脉瘤(RSOVA)窦的破裂确实很难实现,特别是如果临床表现类似于急性心肌梗塞。本报告描述了一名孕妇,由于RSOVA而出现严重的胸痛和低血压,并伴有aVR和V1ST段抬高。
方法:RSOVA对胎儿的影响,疾病生存,和预后。
方法:RSOVA。
方法:打开SOVA修复。
结果:术后患者血压恢复正常,临床症状消失。经过3个月的随访,患者血流动力学稳定,无胸部不适,超声心动图显示正常的主动脉窦.
结论:进行性动脉瘤扩张或破裂预后不良。彻底的病史和体检是最基本的,超声心动图是首选的初始诊断工具,和其他辅助测试(例如,计算机断层扫描)用于补充和确认诊断。手术仍然是目前RSOVA患者的首选治疗方法,而RSOVA妊娠患者的继续妊娠仍是个案测量。
BACKGROUND: Sinus of Valsalva aneurysm (SOVA), a rare cardiac malformation, is usually congenital and rarely acquired and most commonly occurring in the right coronary sinus. The clinical presentation of patients with SOVA varies. It is usually asymptomatic when it has not ruptured, and when it compresses neighboring structures or ruptures, it can lead to heart failure or shock, at which point urgent surgical intervention is usually required. Rupture of the sinus of Valsalva aneurysm (RSOVA) during pregnancy is really hard to come by, especially if the clinical presentations resemble that of an acute myocardial infarction. This report describes a pregnant woman with severe chest pain and hypotension with aVR and V1 ST-segment elevation due to RSOVA.
METHODS: Effects of RSOVA on the fetus, disease survival, and prognosis.
METHODS: RSOVA.
METHODS: Open SOVA repair.
RESULTS: The patient\'s blood pressure returned to normal range and clinical symptoms disappeared after the surgery. After 3 months of follow-up, the patient was hemodynamically stable without chest discomfort, and an echocardiogram showed a normal aortic sinus.
CONCLUSIONS: Progressive aneurysm dilatation or rupture has a poor prognosis. A thorough history and physical examination are fundamental, with echocardiography being the initial diagnostic tool of choice, and other ancillary tests (e.g., computed tomography) being used to complement and confirm the diagnosis. Surgery remains the current treatment of choice for patients with RSOVA, while the continuation of pregnancy in pregnant patients with RSOVA remains a case-by-case measure.