Diagnosis and treatment options for sinus of Valsalva aneurysms: A narrative review.

IF 1.9 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Kevan English
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引用次数: 0

Abstract

Sinus of Valsalva aneurysm (SoVA) is a rare cardiac defect that may be congenital or acquired. It is characterized by abnormal dilatation of the aortic root due to a weakened elastic lamina at the junction of the annulus fibrosus and the aortic media. SoVAs are present in approximately 0.09% of the general population and comprise up to 3.5% of all congenital cardiac defects. It is usually found incidentally on cardiac imaging, with a higher incidence observed in the Western populations and a male-to-female ratio of 4:1. A transthoracic two-dimensional echocardiogram is the initial diagnostic test of choice, which may reveal the characteristic "windsock deformity" that clinches the diagnosis. Other imaging modalities, such as transesophageal echocardiography and cardiac computed tomography angiography, help provide more extensive details of the aneurysm and its adjacent structures. Management options for ruptured and unruptured SoVA include surgical repair or transcatheter closure, which serves as a game-changing development in treatment. This article aims to provide background information on the epidemiology, pathophysiology, diagnosis, and recent advancements over the past decade in the management of SoVAs.

Valsalva窦性动脉瘤的诊断和治疗方法综述。
Valsalva动脉瘤窦是一种罕见的心脏缺陷,可能是先天性或获得性的。它的特征是由于纤维环和主动脉介质交界处的弹性层减弱而导致主动脉根部异常扩张。sova约占总人口的0.09%,占所有先天性心脏缺陷的3.5%。它通常在心脏影像学上偶然发现,在西方人群中发病率较高,男女比例为4:1。经胸二维超声心动图是首选的初步诊断检查,它可以显示“风袜畸形”的特征,从而确定诊断。其他成像方式,如经食管超声心动图和心脏计算机断层血管造影,有助于提供更广泛的动脉瘤及其邻近结构的细节。破裂和未破裂SoVA的治疗选择包括手术修复或经导管闭合,这是治疗中改变游戏规则的发展。本文旨在提供流行病学、病理生理学、诊断和近十年来SoVAs管理的最新进展的背景信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
World Journal of Cardiology
World Journal of Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.30
自引率
5.30%
发文量
54
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