Percutaneous closure of recurrent noncoronary Sinus of Valsalva aneurysm rupture: utility of computed tomography in procedural planning.
This case demonstrates the benefit of CT angiography in procedure planning and device selection for percutaneous closure of Sinus of Valsalva aneurysm rupture. As there is no dedicated equipment for closure, appropriate device selection is paramount. Amplatzer Muscular VSD Occluder device was chosen based on the anatomy of the defect that was readily appreciable by CT angiography, but was not well visualized with transesophageal echocardiography and thoracic aortography. CT angiography can provide anatomic information vital to percutaneous procedure planning and device selection. It is complementary to other imaging modalities.
Mandel
Leonid
L
Departments of Medicine, Christiana Care Health System, Section of Cardiology, 4755 Ogletown-Stanton Road, Newark, DE 19718, USA. melennyum@yahoo.com
Gakhal
Mandip
M
Hopkins
James
J
D000328:Adult; D000792:Angiography; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D055989:Septal Occluder Device; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome