Rare cause of abdominal pain and shock: Rupture of a sinus of Valsalva aneurysm

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• 作者：Yi-Ming Weng^a ; ^b ; ^e ; Tai-Yi Hsu^c ; ^e ; Cheng-Wei Chan^b ; ^d ; ^{wherego2010@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Jih-Chang Chen^a ; ^b
• 关键词：Cardiogenic shock ; Acute right ventricular failure ; Rupture of a sinus of Valsalva aneurysm
• 刊名：Journal of Acute Medicine
• 出版年：2015
• 出版时间：September 2015
• 年：2015
• 卷：5
• 期：3
• 页码：77-79
• 全文大小：610 K

文摘

Cardiogenic shock is defined by tissue hypoperfusion due to heart failure. The manifestations of acute right ventricular (RV) failure include a distended jugular vein and hypotension, but not rales. The causes of isolated acute RV failure include RV infarction, pulmonary embolism, cardiac tamponade, congenital disease, and valvular heart disease. Rupture of a sinus of Valsalva aneurysm (SVA) is rarely seen in emergency departments (EDs). We report a 46 year-old male who suffered from SVA rupture triggering acute RV failure and cardiogenic shock.