主动脉窦瘤破裂54例临床分析

目的总结主动脉窦瘤破裂的临床类型、诊断、治疗和预后。方法回顾性分析54例主动脉窦瘤破裂患者的临床资料。结果主动脉右冠窦瘤和无冠窦瘤破裂分别为48例和6例。其中50例破入右心室，4例破入右心房。合并室间隔缺损和主动脉瓣关闭不全分别为11例和15例，并发感染性心内膜炎3例。54例手术，术后5d因多脏器功能衰竭（MSOF）死亡1例。随访53例，平均随访时间4．5年，心功能Ⅰ级16例，Ⅱ级17例，Ⅲ级3例。结论主动脉窦瘤破裂一经确诊，应及早手术治疗，同时矫治合并畸形，可获得满意的近期和远期疗效。

Clinical analysis of 54 patients with rupture of aortic sinus aneurysm

Objective To summarize the ruptured types, operational ways and therapy effect for rupture of aortic sinus aneurysm. Methods The operational cured 54 eases with aneurysm of aortic sinus were retrospectively analyzed. Results There were 48 cases of right aortic sinus aneurysm and 6 cases with null aneurysm of aortic sinus. 50 cases among them rupture was permeated into right ventricle ,4 eases among them reptured into right atrium. There were 11 cases with ventricular septal defect, 15 cases with aortic valvular imcompetence,6 cases complicated with in-fective endocarditis. 54 cases received operation, 1 case was died from MSOF. 53 patients were followed up,the mean follow up period was 4. 5 years. The cardiac function of 16 cases were found to be of NYHA class Ⅰ , 17 cases of class l] and 3 cases of class m. Conclusions The right aneurysm of aortic sinus were the most types, and it always rup-tured into right ventricle. It suggests that it is important for aneurysm of aortic sinus operated as early as possible in or-der to avoid losing the chance of operation.