Percutaneous closure of ruptured sinus of Valsalva aneursym with Amplatzer ductal occluder.
Rupture of a sinus of Valsalva aneurysm (SVA) is clinically characterized by widening of an existing sinus of Valsalva aneurysm in time and its opening to other cardiac cavities, primarily to the right atrium and right ventricle. Increased biventricular filling appearing due to rupture causes symptoms of heart failure. Although classical treatment of ruptured SVA is surgical, various percutaneous closure devices are being used successfully for treatment of lesions in recent years. With this paper, we described a case about rupture of a sinus of Valsalva aneurysm causing a haemodynamically important left-to-right shunt and heart failure due to this, and we explained how we successfully repaired it with an Amplatzer ductal occluder device. Our clinical experience and early term results of similar cases in the literature suggest that percutaneous closure methods can be an alternative to surgical treatment to treat ruptured sinus ofValsalva aneurysms.
Department of Cardiology, Akdeniz University Medical Faculty, Antalya, Turkey. dremre29@yahoo.com
Refik Emre
RE
Altekin
M Serkan
MS
Karakas
Arzu
A
Er
Atakan
A
Yanikoglu
Sinan
S
Ozbek
Huseyin
H
Yilmaz
D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000628:therapy*; D001027:Aortography; D017023:Coronary Angiography; D017548:Echocardiography, Transesophageal; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D055989:Septal Occluder Device; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging; D016896:Treatment Outcome