title: Complete heart block following transcatheter closure of ruptured sinus of Valsalva aneurysm.
abstract: Ruptured sinus of Valsalva aneurysm (RSVA), a rare form of left-to-right shunt, is being increasingly corrected with transcatheter closure (TCC) with promising immediate and mid-term results. Complete heart block (CHB) following TCC of perimembranous ventricular septal defect is a well-described albeit worrisome complication. We describe a hitherto unreported case of development of CHB following TCC of RSVA that responded to high-dose steroids. The patient continues to remain in sinus rhythm without CHB 6 months later.
authors.affiliation: Seth GS Medical College and KEM Hospital, Department of Cardiology, Asian Heart Institute, Mumbai, India.
authors.forename: Shrivallabh M
authors.initials: SM
authors.lastname: Karlekar
authors.forename: Parag
authors.initials: P
authors.lastname: Bhalghat
authors.forename: Prafulla G
authors.initials: PG
authors.lastname: Kerkar
mesh_terms: D000328:Adult; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000628:therapy*; D054537:Atrioventricular Block / Q000175:diagnosis / Q000209:etiology; D006328:Cardiac Catheterization / Q000009:adverse effects*; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D006327:Heart Block / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging; D016896:Treatment Outcome