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...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 inci-dentally 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 advan-cements over the past decade in the management of SoVAs.展开更多
目的探讨Nd：YAG激光内界膜切开治疗Valsalva视网膜病变的安全性与有效性。方法总结Valsalva视网膜病变接受治疗的10例10眼的临床资料进行回顾分析,所有患者均行Nd：YAG激光内界膜切开术,激光初始能量为3.0~4.8 m J。观察记录患者术前...目的探讨Nd：YAG激光内界膜切开治疗Valsalva视网膜病变的安全性与有效性。方法总结Valsalva视网膜病变接受治疗的10例10眼的临床资料进行回顾分析,所有患者均行Nd：YAG激光内界膜切开术,激光初始能量为3.0~4.8 m J。观察记录患者术前术后视力,眼压及眼底情况。结果患眼视力由术前的手动（6例）或指数（4例）提高到术后第1天的0.1~0.5,最后视力稳定在0.8~1.2。随诊期间眼压稳定,未发现并发症。结论 Nd：YAG激光内界膜切开治疗Valsalva视网膜病变是安全有效的方法。展开更多
文摘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 inci-dentally 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 advan-cements over the past decade in the management of SoVAs.
文摘目的探讨Nd：YAG激光内界膜切开治疗Valsalva视网膜病变的安全性与有效性。方法总结Valsalva视网膜病变接受治疗的10例10眼的临床资料进行回顾分析,所有患者均行Nd：YAG激光内界膜切开术,激光初始能量为3.0~4.8 m J。观察记录患者术前术后视力,眼压及眼底情况。结果患眼视力由术前的手动（6例）或指数（4例）提高到术后第1天的0.1~0.5,最后视力稳定在0.8~1.2。随诊期间眼压稳定,未发现并发症。结论 Nd：YAG激光内界膜切开治疗Valsalva视网膜病变是安全有效的方法。
