title: Transcatheter closure of ruptured sinus of Valsalva aneurysm using the Amplatzer duct occluder in a critically ill post-CABG patient.
abstract: Ruptured sinus of Valsalva aneurysm is a rare but well recognized clinical entity. These patients develop congestive heart failure due to biventricular increases in volume as a result of sudden aortocardiac shunting. Traditionally, surgical repair has been the mainstay of therapy. We report a case of a ruptured sinus of Valsalva aneurysm that was successfully closed percutaneously using the Amplatzer duct occluder in a critically ill patient operated on previously for coronary artery disease and presenting with acute congestive heart failure.
authors.affiliation: Department of Cardiology, Asian Heart Institute and Research Center, Mumbai, India. prafullakerkar@rediffmail.com
authors.forename: Prafulla
authors.initials: P
authors.lastname: Kerkar
authors.forename: Tilak
authors.initials: T
authors.lastname: Suvarna
authors.forename: Nitin
authors.initials: N
authors.lastname: Burkule
authors.forename: Ramakanta
authors.initials: R
authors.lastname: Panda
mesh_terms: D001019:Aortic Rupture / Q000150:complications / Q000628:therapy*; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000601:surgery; D016638:Critical Illness; D017548:Echocardiography, Transesophageal; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D012850:Sinus of Valsalva