title: Transcatheter Closure of Ruptured Sinus of Valsalva Aneurysm: Report of two cases.
abstract: A ruptured sinus of Valsalva aneurysm (RSVA) is a rare cardiac anomaly. Traditionally, RSVAs were repaired surgically; however, percutaneous transcatheter closure is the current treatment of choice. We report two cases of RSVA which were closed using this approach. The first case was a 45-year-old female who presented to the Royal Hospital, Muscat, Oman, in 2014 with a RSVA in the right ventricle. The second case was a 39-year-old male who was admitted to the Sultan Qaboos University Hospital, Muscat, in 2015 with a large multifenestrated RSVA extending into the right ventricle outflow tract. Each patient underwent transcutaneous cardiac catheterisation using three-dimensional echocardiography. Both interventions were technically successful; however, the second patient required a subsequent surgery due to the continuing presence of a significant shunt. Transcatheter closure of RSVAs is an effective alternative to surgical repair, although large multifenestrated RSVAs should be repaired surgically to ensure complete closure.
authors.affiliation: Department of Child Health, Sultan Qaboos University Hospital, Muscat, Oman.
authors.forename: Khalfan S
authors.initials: KS
authors.lastname: Al-Senaidi
authors.affiliation: Department of Paediatric Cardiology, Royal Hospital, Muscat, Oman.
authors.forename: Abdullah
authors.initials: A
authors.lastname: Al-Farqani
authors.affiliation: Department of Anaesthesia, Royal Hospital, Muscat, Oman.
authors.forename: Madan
authors.initials: M
authors.lastname: Maddali
authors.affiliation: Department of Paediatric Cardiology, Royal Hospital, Muscat, Oman.
authors.forename: Salim
authors.initials: S
authors.lastname: Al-Maskary
keywords: Cardiac Catheterization; Case Report; Oman; Ruptured Aneurysm; Sinus of Valsalva; Three-Dimensional Echocardiography