MDCT로 진단한 두 개의 Coronary Sinus를 침범한 발살바동 동맥류 증례 보고

MDCT Findings of Sinus of Valsalva Aneurysms Involving Two Coronary Sinuses: Case Report

  • 김은미 (인제대학교 일산백병원 영상의학과) ;
  • 김수영 (인제대학교 일산백병원 영상의학과) ;
  • 이성윤 (인제대학교 일산백병원 내과) ;
  • 장우익 (인제대학교 일산백병원 흉부외과) ;
  • 김창영 (인제대학교 일산백병원 흉부외과) ;
  • 허감 (인제대학교 일산백병원 영상의학과)
  • Kim, Eun-Mi (Department of Radiology, Inje University Ilsan-Paik Hospital) ;
  • Kim, Su-Young (Department of Radiology, Inje University Ilsan-Paik Hospital) ;
  • Lee, Sung-Yoon (Department of Internal Medicine, Inje University Ilsan-Paik Hospital) ;
  • Chang, Woo-Ik (Department of Cardiothoracic Surgery, Inje University Ilsan-Paik Hospital) ;
  • Kim, Chang-Young (Department of Cardiothoracic Surgery, Inje University Ilsan-Paik Hospital) ;
  • Hur, Gham (Department of Radiology, Inje University Ilsan-Paik Hospital)
  • 투고 : 2010.05.17
  • 심사 : 2010.08.12
  • 발행 : 2010.12.01

초록

발살바동에서 발생한 동맥류는 비교적 드물며 대개 한 개의 발살바동을 침범한다. 저자는 51세 여자 환자에서 발생한 좌관상동과 비관상동을 침범하는 동맥류의 다검출기전산화단층촬영 소견 1예를 보고하고자 한다.

A sinus of Valsalva aneurysm is relatively rare and usually involves a single sinus. We describe here the multidetector computed tomography features of a case of an unruptured sinus of Valsalva aneurysms that affected the left and noncoronary sinuses in a 51-year-old woman.

키워드

참고문헌

  1. Kim KH, Yang TH, Han YC, Cho HJ, Um SJ, Seol SH, et al. Huge aneurysm of the sinus of valsalva compressing the left atrium. J Cardiovasc Ultrasound 2008;16:140-142 https://doi.org/10.4250/jcu.2008.16.4.140
  2. White CS, Plotnick GD. Case 33: sinus of valsalva aneurysm. Radiology 2001;219:82-85 https://doi.org/10.1148/radiology.219.1.r01ap3082
  3. Thankachen R, Gnanamuthu R, Doshi H, Shukla V, Korula RJ. Unruptured aneurysm of the sinus of valsalva presenting with right ventricular outflow obstruction. Tex Heart Inst J 2003;30:152-154
  4. Kantarci M, Doganay S, Gundogdu F, Unlu Y. A case with noncoronary sinus of valsalva aneurysm: multidetector computed tomography findings. Heart Surg Forum 2008;11:E372-E374 https://doi.org/10.1532/HSF98.20081063
  5. Tami LF, Turi ZG, Arbulu A. Sinus of valsalva aneurysms involving both coronary ostia. Cathet Cardiovasc Diagn 1993;29:304-308 https://doi.org/10.1002/ccd.1810290414
  6. Zannis K, Tzvetkov B, Deux JF, Kirsch EW. Unruptured congenital aneurisms of the right and left sinuses of valsalva. Eur Heart J 2007;28:1565 https://doi.org/10.1093/eurheartj/ehl463
  7. Vijayalakshmi IB, Devananda NS, Chitra N. A patient with aneurysms of both aortic coronary sinuses of valsalva obstructing both ventricular outflow tracts. Cardiol Young 2009;19:537-539 https://doi.org/10.1017/S1047951109990710
  8. Hwang SH, Kim TH, Kim SJ, Kwon HM, Yu KJ. Multidetectorrow computed tomography of a valsalva sinus aneurysm in a patient with behcet disease. J Thorac Imaging 2006;21:300-302 https://doi.org/10.1097/01.rti.0000213556.69376.de
  9. Matteucci ML, Rescigno G, Capestro F, Torracca L. Syncope triggered by a giant unruptured sinus of valsalva aneurysm. Interact Cardiovasc Thorac Surg 2009;9:1047-1048 https://doi.org/10.1510/icvts.2009.215970