Aortic root dissection with left valsalva sinus perforation detected by transesophageal 3D echocardiography in a patient with Beh?et's disease

ZhaoH.; HeB.; ShenX.; QiaoZ.; XuT.; LianF.; XueS.

首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Aortic root dissection with left valsalva sinus perforation detected by transesophageal 3D echocardiography in a patient with Beh?et's disease

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Aortic root dissection with left valsalva sinus perforation detected by transesophageal 3D echocardiography in a patient with Beh?et's disease

机译：经食管3D超声心动图检查发现Beh？et病患者主动脉根部夹有左瓣膜窦穿孔

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摘要

Beh?et's disease (BD) is a multi-system inflammatory disorder. We report the case of a BD patient with severe aortic root vasculitis. Two-dimensional transthoracic echocardiography (2DE) images suggested left Valsalva sinus aneurysm ruptured into the left ventricular outflow tract. However, preoperative transesophageal real-time 3-dimensional echocardiography (3DE) revealed that the aneurysm-like structure involved most of the left ventricular outflow tract wall, leading to the diagnosis of aortic root dissection associated with perforation of the left Valsalva sinus and prolapse of the exfoliated endocardium into the left ventricular outflow tract. These findings were confirmed by open heart surgery. 3DE was helpful differentiating aortic root dissection from Valsalva sinus aneurysm rupture, especially by demonstrating the extent of aneurysm-like structure in the left ventricular outflow tract.

机译：行为病（BD）是一种多系统性炎症性疾病。我们报告了BD患者患有严重主动脉根血管炎的病例。二维经胸超声心动图（2DE）图像提示左Valsalva窦动脉瘤破裂进入左心室流出道。然而，术前经食管实时3维超声心动图（3DE）显示，动脉瘤样结构累及了大部分左心室流出道壁，从而导致诊断出与左Valsalva窦穿孔和脱垂有关的主动脉根部解剖脱落的心内膜进入左心室流出道。这些发现被心脏直视手术证实。 3DE有助于区分主动脉根部夹层与Valsalva窦动脉瘤破裂，特别是通过证明左心室流出道中的动脉瘤样结构的程度。

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《Journal of Clinical Ultrasound: JCU》 |2014年第1期|共4页
作者
ZhaoH.; HeB.; ShenX.; QiaoZ.; XuT.; LianF.; XueS.;
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正文语种 eng
中图分类影像诊断学;
关键词
Aortic dissection; Beh?et's disease; Transesophageal real-time 3-dimensional echocardiography; Valsalva sinus;

机译：主动脉夹层;贝叶氏病;经食道实时三维超声心动图;窦房结;

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专利

1. Aortic root dissection with left valsalva sinus perforation detected by transesophageal 3D echocardiography in a patient with Beh?et's disease [J] . ZhaoH., HeB., ShenX., Journal of Clinical Ultrasound: JCU . 2014,第1期

机译：经食管3D超声心动图检查发现Beh？et病患者主动脉根部夹有左瓣膜窦穿孔
2. A new on-line method for predicting aortic root dilatation during two-dimensional echocardiography in pediatric patients with Marfan syndrome using the sinus of valsalva to annulus ratio. [J] . Mart CR, Khan SA, Smith FC, Pediatric cardiology . 2003,第2期

机译：一种新的在线方法，用于利用血管窦与瓣环的比值在小儿Marfan综合征患者中进行二维超声心动图时预测主动脉根部扩张。
3. Anomalous origin of the left main coronary artery from the right sinus of valsalva with an intramural course identified by transesophageal echocardiography in a 14 year old with acute myocardial infarction. [J] . Kannam HC, Satou G, Gandelman G, Cardiology in review . 2005,第5期

机译：一名14岁急性心肌梗死患者经食道超声心动图检查发现壁内病程为壁内病程，是左主冠状动脉起源于右室侧窦。
4. The anomalous origin of the left coronary artery from the right aortic sinus of valsalva [C] . Yaliniz H., Salih O.K., Atalay A., International Congress on Coronary Artery Disease . 2009

机译：左冠状动脉的异常起源来自瓦萨瓦的右主动脉窦
5. The use of transesophageal echocardiography for the assessment of left ventricular volume and function in patients undergoing acute normovolemic hemodilution as a human hemorrhagic model. [D] . Rose, David D. 2007

机译：经食道超声心动图评估急性降血容量血液稀释患者的左室容量和功能，作为人类出血模型。
6. A postoperative left ventricular-right atrial shunt due to infectious endocarditis after aortic repair with aortic valve replacement detected by transesophageal echocardiography [O] . Toshiyuki Sawai, Junko Nakahira, Manabu Kitano, -1

机译：经食道超声心动图检查发现主动脉修复后主动脉瓣置换术后因感染性心内膜炎导致的术后左心室-右房分流
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Aortic root dissection with left valsalva sinus perforation detected by transesophageal 3D echocardiography in a patient with Beh?et's disease

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