大動脈洞動脈瘤破裂
WordNet
- state of being torn or burst open
- the act of making a sudden noisy break
- a personal or social separation (as between opposing factions); "they hoped to avoid a break in relations" (同)breach, break, severance, rift, falling out
- commit a sin; violate a law of God or a moral law (同)transgress, trespass
- violent and excited activity; "they began to fight like sin" (同)hell
- estrangement from god (同)sinfulness, wickedness
- an act that is regarded by theologians as a transgression of Gods will (同)sinning
- the 21st letter of the Hebrew alphabet
- a cardiovascular disease characterized by a saclike widening of an artery resulting from weakening of the artery wall (同)aneurism
- any of various air-filled cavities especially in the bones of the skull
PrepTutorEJDIC
- 〈U〉〈C〉(…の)破裂《+『of』+『名』》 / 〈U〉〈C〉(友好的関係などの)決裂,仲たがい / 〈C〉裂け目 / 〈C〉脱腸,ヘルニア / …‘を'破裂させる / 〈友好関係など〉‘を'断ち切る / 破裂する
- 《所有・所属》…『の』,…のものである,…に属する・《材料・要素》…『でできた』,から成る・《部分》…『の』[『中の』] ・《数量・単位・種類を表す名詞に付いて》…の・《原因・動機》…『で』,のために(because of) ・《主格関係》…『の』,による,によって・《目的格関係》…『を』,の・《同格関係》…『という』・《関係・関連》…『についての』[『の』],の点で・《抽象名詞などと共に》…の[性質をもつ] ・《『It is』+『形』+『of』+『名』+『to』 doの形で,ofの後の名詞を意味上の主語として》・《分離》…『から』・《起原・出所》…『から』[『の』](out of) ・《『名』+『of』+『a』(『an』)+『名』の形で》…のような・《『名』+『of』+『mine』(『yours, his』など独立所有格)の形で》…の…・《時》(1)《副詞句を作って》…に《形容詞句を作って》…の・《時刻》《米》…前(to,《米》before)
- 〈U〉(宗教・道徳上の)『罪』 / 〈C〉(宗教・道徳上の)『罪の行為』,罪悪 / 〈C〉《特におどけて》違反(過失)の行為 / (宗教・道徳上の)おきてを破る,罪を犯す / (…に)違反(過失)をする,背く《+『against』+『名』》
- sine
- 動脈瘤(りゅう)
- 洞(どう)(骨や組織の中の穴・くぼみなど);静脈洞
UpToDate Contents
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English Journal
- Rupture of sinus of valsalva aneurysm with aorto-biventricular fistulas and right-ventricular outflow tract obstruction: a unique association.
- Masri SI, Bitar FF, Arabi MT, Majdalani MN, Obeid MY, Al Halees ZY, Diab KA.SourceDivision of Pediatric Cardiology, Department of Pediatrics, Children's Heart Center, American University of Beirut Medical Center, Beirut, Lebanon.
- Pediatric cardiology.Pediatr Cardiol.2013 Dec;34(8):2034-6. doi: 10.1007/s00246-012-0581-4. Epub 2012 Nov 16.
- Sinus of Valsalva aneurysms are a rare entity. Rupture of such aneurysms is a major cause of aortocardiac fistulas usually occurring between the right sinus of Valsalva and right cardiac chambers. We report an exceptional case of a ruptured congenital sinus of Valsalva aneurysm with fistulas involvi
- PMID 23160621
- Ruptured sinus of valsalva found incidentally in a patient with tetralogy of fallot.
- Mithani AA, Polimenakos AC, Santucci BA.SourceRush University, Chicago, IL, USA, mithani3@gmail.com.
- Pediatric cardiology.Pediatr Cardiol.2013 Dec;34(8):1914-7. doi: 10.1007/s00246-012-0457-7. Epub 2012 Aug 18.
- Ruptured sinus Valsalva aneurysm (SVA) in a patient with tetralogy of Fallot is a very rare cardiac complication. This report describes the case of a 10-year-old Hispanic girl who presented to her cardiologist for a routine transthoracic echocardiography (TTE), which showed a ruptured sinus of Valsa
- PMID 22903680
- Valve-sparing aortic root replacement and neochordal repair of complex aortic leaflet pathology for ruptured sinus of valsalva aneurysm fistulizing to the right ventricle.
- Woo YJ, Frederick JR.SourceDivision of Cardiovascular Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania. Electronic address: jwoo@uphs.upenn.edu.
- The Annals of thoracic surgery.Ann Thorac Surg.2013 Nov;96(5):1891-3. doi: 10.1016/j.athoracsur.2013.05.008.
- Sinus of Valsalva aneurysms (SVAs) are rare congenital entities arising from eccentric aortic root dilatation that can protrude and rupture into adjacent cardiac chambers. Treatment entails aneurysmal sac excision and aortic defect closure. We present a young patient with a ruptured SVA fistulizing
- PMID 24182491
Japanese Journal
- Ruptured Right Sinus of Valsalva Aneurysm Caused by Suspected Takayasu's Arteritis
- 症例 感染性右冠状動脈瘤術後早期に右房穿破した仮性Valsalva洞動脈瘤の1例
- 無症候性に経過した右房流入型バルサルバ洞動脈瘤破裂の1例
Related Links
- Ruptured sinus of Valsalva aneurysm (RSOV), a rare but well- recognized clinical entity, is invariably a form of left-to-right shunt due to rupture into right-sided chambers. It causes profound hemodynamic effects, especially when the ...
- Sinus of Valsalva aneurysm is a rare disorder. It is usually congenital, but other origins have been described. It may be asymptomatic, or it may present as angina or with symptoms of valvular insufficiency or outflow obstruction. Once ...
★リンクテーブル★
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- 英
- ruptured aneurysm of the aortic sinus of Valsalva
- 同
- 大動脈洞動脈瘤破裂 ruptured sinus of Valsalva aneurysm、ヴァルサルヴァ洞動脈瘤破裂、Valsalva洞動脈瘤破裂、ruptured aneurysm of sinus of Valsalva
- 関
- 大動脈洞=バルサルバ洞
まとめ
- 先天的に脆弱性によりValsalva洞が右室もしくは右房に突出しており、それが何らかの誘因によって破裂することにより左右シャントから心不全をきたす疾患である。
病因
- 先天的:Valsalva洞の脆弱性
- 後天性:梅毒、感染性心内膜炎、真菌
病態
症状
- 破裂前は無症状
- 突然の胸痛、呼吸困難、動悸、うっ血性心不全 (YN.C-125)
身体所見
聴診
治療
- Valsalva洞動脈瘤破裂はシャント量が少量であっても手術適応である。A弁の変形や細菌性心内膜炎リスクが高くなるためである。(SSUR.361)
- 右房あるいは右室経由でValsalva洞動脈瘤の突出部を切除しパッチ閉鎖 (SSUR.361)
Henry Gray (1825-1861). Anatomy of the Human Body. 1918.
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- 英
- ruptured sinus of Valsalva aneurysm
- 関
- ヴァルサルヴァ洞動脈瘤破裂
[★]
- 破裂、破断、破壊。(医)破裂、断裂。(医)ヘルニア
- 決裂、断絶。仲違い、不和(between, with)
- 破る、裂く、破裂させる。断裂させる、決裂させる。仲たがいさせる
- (医)~にヘルニアを起こさせる。
- 関
- abolish、break、breakdown、burst、destroy、destruction、dismantle、disrupt、disruptant、disruption、explode、explosion、laceration、lesion、subversion、subvert