Transcatheter occlusion of ruptured sinus of valsalva aneurysm: innovative use of available technology.
A 9-year-old boy was found to have ruptured sinus of Valsalva aneurysm (RSVA) and aortic coarctation. Following relief of aortic coarctation by balloon angioplasty, transcatheter coil occlusion of the RSVA was performed successfully under transesophageal echocardiographic and fluoroscopic monitoring; bioptome-assisted delivery of 0.052" Gianturco coil was undertaken via a 7 Fr sheath stabilized by an 0.035" guidewire passing through the RSVA and the sheath. This report details the technique of occlusion.
Rao
P Syamasundar
PS
Department of Pediatrics, St Louis University School of Medicine/Cardinal Glennon Children's Hospital, St Louis, Missouri, USA. p.syamasundar.rao@uth.tmc.edu
Bromberg
Burt I
BI
Jureidini
Saadeh B
SB
Fiore
Andrew C
AC
D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D001017:Aortic Coarctation / Q000000981:diagnostic imaging / Q000628:therapy*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000628:therapy*; D021721:Balloon Occlusion / Q000379:methods*; D006328:Cardiac Catheterization / Q000379:methods*; D002648:Child; D017548:Echocardiography, Transesophageal; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D013677:Medical Laboratory Science; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging / Q000601:surgery*; D035703:Therapies, Investigational / Q000379:methods*