"Ruptura aneuryzmatu Valsalvova sinu je vz\u00E1cn\u00E9, ale z\u00E1va\u017En\u00E9 srde\u010Dn\u00ED onemocn\u011Bn\u00ED, kter\u00E9 m\u016F\u017Ee ohrozit pacienta na \u017Eivot\u011B. V\u010Dasn\u00E1 diagnostika a spr\u00E1vn\u00E1 l\u00E9\u010Dba \u2022nu\u017Ee v\u00FDrazn\u011B ovlivnit progn\u00F3zu pacienta. V na\u0161\u00ED kazuistice popisujeme p\u0159\u00EDpad 44let\u00E9ho mu\u017Ee p\u0159ijat\u00E9ho na Intern\u00ED kardiologickou kliniku FN Brno pro typick\u00E9 oolesti na hrudi s nespecifick\u00FDmi zm\u011Bnami p\u0159i elektrokardiografick\u00E9m vy\u0161et\u0159en\u00ED a s pozitivn\u00EDm troponinem T. Vstupn\u00ED transthorak\u00E1ln\u00EDechokardiografick\u00E9 vy\u0161et\u0159en\u00ED odhalilo aneuryzma nekoron\u00E1rn\u00EDho sinu a komunikaci mezi aortou a pravou s\u00EDn\u00ED, kter\u00E1 byla potvrzena i CT angiograficky. Pacient byl pot\u00E9 odesl\u00E1n do kardiochirurgick\u00E9ho centra, kde byla n\u00E1sledn\u011B provedena resekce aneuryzmatu a uzav\u0159ena komunikace mezi aortou a pravou s\u00EDn\u00ED z\u00E1platou z perikardu. P\u0159i vzniku aneuryzmatu nelze vylou\u010Dit pod\u00EDl metabolick\u00E9ho \u00FA\u010Dinku kortikoid\u016F, kter\u00E9 pacient dlouhodob\u011B u\u017E\u00EDval. Z uveden\u00E9 kazuistiky plyne, \u017Ee pe\u010Dliv\u00E9 klinick\u00E9 vy\u0161et\u0159en\u00ED 3 neinvazivn\u00ED vy\u0161et\u0159ovac\u00ED metody z\u016Fst\u00E1vaj\u00ED st\u00E1le z\u00E1kladn\u00EDm diagnostick\u00FDm postupem." . "Rupture of a sinus of Valsalva aneurysm is a rare and serious heart disease which can endanger the patient's life. Early diagnosis and proper therapeutic treatment can significantly affect the patient's prognosis. We describe the case of a 44-year-old man admitted to the Cardiology Department of the University Hospital Brno with typical chest pain and non-specific changes on electrocardiogram and positive troponinT. Transthoracic echocardiography revealed a non-coro\u00ACnary sinus aneurysm and communication between the aorta and the right atrium, which was confirmed by computed tomography. The patient was referred to the cardiothoracic surgery centre and the aneurysm was resected. The communication between the aorta and the right atrium was closed via pericardial patch. The aneurysm formation can be caused by the metabolic effects of corticosteroids which the patient had been using for a long time."@en . . "5"^^ . . "7"^^ . . "[FA7FDFEFC6E4]" . "16" . "\u0160pinar, Jind\u0159ich" . "I, P(ED1.100/02/0123)" . "Ludka, Ond\u0159ej" . "2336-288X" . "\u0160ebo, M." . "Ruptura aneuryzmatu nekoron\u00E1rn\u00EDho Valsalvova sinu jako raritn\u00ED p\u0159\u00ED\u010Dina bolesti na hrudi \u2013 kazuistika"@cs . "Rupture of a sinus of Valsalva aneurysm as an unusual cause of chest pain - case report"@en . . "14110" . . "4"^^ . . . "Ruptura aneuryzmatu nekoron\u00E1rn\u00EDho Valsalvova sinu jako raritn\u00ED p\u0159\u00ED\u010Dina bolesti na hrudi \u2013 kazuistika" . . "Mikol\u00E1\u0161kov\u00E1, Monika" . . "5" . "RIV/00216224:14110/14:00078356" . . "CZ - \u010Cesk\u00E1 republika" . . "Ruptura aneuryzmatu nekoron\u00E1rn\u00EDho Valsalvova sinu jako raritn\u00ED p\u0159\u00ED\u010Dina bolesti na hrudi \u2013 kazuistika"@cs . "Rupture of a sinus of Valsalva aneurysm as an unusual cause of chest pain - case report"@en . . . "43579" . . "Ruptura aneuryzmatu nekoron\u00E1rn\u00EDho Valsalvova sinu jako raritn\u00ED p\u0159\u00ED\u010Dina bolesti na hrudi \u2013 kazuistika" . "aneurysm of sinus of Valsalva; congenital heart disease; rupture; shunt"@en . "Holick\u00E1, M\u00E1ria" . . . . "Ruptura aneuryzmatu Valsalvova sinu je vz\u00E1cn\u00E9, ale z\u00E1va\u017En\u00E9 srde\u010Dn\u00ED onemocn\u011Bn\u00ED, kter\u00E9 m\u016F\u017Ee ohrozit pacienta na \u017Eivot\u011B. V\u010Dasn\u00E1 diagnostika a spr\u00E1vn\u00E1 l\u00E9\u010Dba \u2022nu\u017Ee v\u00FDrazn\u011B ovlivnit progn\u00F3zu pacienta. V na\u0161\u00ED kazuistice popisujeme p\u0159\u00EDpad 44let\u00E9ho mu\u017Ee p\u0159ijat\u00E9ho na Intern\u00ED kardiologickou kliniku FN Brno pro typick\u00E9 oolesti na hrudi s nespecifick\u00FDmi zm\u011Bnami p\u0159i elektrokardiografick\u00E9m vy\u0161et\u0159en\u00ED a s pozitivn\u00EDm troponinem T. Vstupn\u00ED transthorak\u00E1ln\u00EDechokardiografick\u00E9 vy\u0161et\u0159en\u00ED odhalilo aneuryzma nekoron\u00E1rn\u00EDho sinu a komunikaci mezi aortou a pravou s\u00EDn\u00ED, kter\u00E1 byla potvrzena i CT angiograficky. Pacient byl pot\u00E9 odesl\u00E1n do kardiochirurgick\u00E9ho centra, kde byla n\u00E1sledn\u011B provedena resekce aneuryzmatu a uzav\u0159ena komunikace mezi aortou a pravou s\u00EDn\u00ED z\u00E1platou z perikardu. P\u0159i vzniku aneuryzmatu nelze vylou\u010Dit pod\u00EDl metabolick\u00E9ho \u00FA\u010Dinku kortikoid\u016F, kter\u00E9 pacient dlouhodob\u011B u\u017E\u00EDval. Z uveden\u00E9 kazuistiky plyne, \u017Ee pe\u010Dliv\u00E9 klinick\u00E9 vy\u0161et\u0159en\u00ED 3 neinvazivn\u00ED vy\u0161et\u0159ovac\u00ED metody z\u016Fst\u00E1vaj\u00ED st\u00E1le z\u00E1kladn\u00EDm diagnostick\u00FDm postupem."@cs . "Ni\u010Dovsk\u00FD, J." . . "Kardiologick\u00E1 revue - Intern\u00ED medic\u00EDna" . "RIV/00216224:14110/14:00078356!RIV15-MSM-14110___" . . . . "Foukal, Jakub" .