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Rupture of Aortic Sinus Valsalva Aneurysm and its Management

机译：主动脉窦Valsalva动脉瘤破裂及其治疗

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Here, we present successful management of a patient with rupture of right sinus valsalva and ventricular septal defect. Aneurysm of the aortic sinus also known as sinus of valsalva (ASOV) is a rare cardiac defect which can be congenital or acquired. Right coronary sinus (most common) usually ruptures into the right ventricle causing left to right shunt as seen in our patient. Unruptured aneurysms cause obstruction to right ventricular outflow tract. A 29-year-old male patient presented with dyspnea, palpitations, easy fatigability and severe limitation of physical activity. Transthoracic echocardiography showed membranous out pouching of the right coronary cusp (RCC) into the right ventricle. Patient was medically managed with drugs. Under general anaesthesia, after instituting cardiopulmonary bypass (CPB) surgical repair with pericardial patch, closure of subpulmonic ventricular septal defect was performed. Patient vitals were stable after surgery and he was asymptomatic on the first follow-up after discharge.
机译：在这里，我们目前成功治疗右窦valsalva破裂和室间隔缺损的患者。主动脉窦的动脉瘤也称为valsalva窦（ASOV），是一种罕见的心脏缺陷，可以先天性或后天性。右冠状窦（最常见）通常会破裂到右心室，导致在我们的患者中出现从左到右的分流。动脉瘤未破裂会阻塞右心室流出道。一名29岁的男性患者出现呼吸困难，心，易疲劳且身体活动严重受限。经胸超声心动图检查显示，右冠状动脉（RCC）的膜状袋进入右心室。患者接受药物治疗。在全身麻醉下，采用心包膜修补术进行心肺搭桥术（CPB）手术修复后，关闭肺下气室间隔缺损。手术后患者生命体征稳定，出院后首次随访无症状。

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