open access
Successful transcatheter closure of very large ruptured sinus of Valsalva aneurysm
open access
Abstract
Sinus of Valsalva aneurysm, usually a congenital anomaly, almost always ruptures into the right side of the heart causing a left-to-right shunt with profound hemodynamic consequences. With the availability of devices and hardware, transcatheter closure is gradually replacing surgical one. Till now, most of closures have been performed by Amplatzer duct occluder. To the best of our knowledge, the present case is first to be reported with this rare defect undergoing successful transcatheter closure of largest ruptured sinus of Valsalva aneurysm arising from right coronary sinus by using 20/18 mm Cocoon Duct Occluder (Vascular Innovations, Nonthaburi, Thailand).
Abstract
Sinus of Valsalva aneurysm, usually a congenital anomaly, almost always ruptures into the right side of the heart causing a left-to-right shunt with profound hemodynamic consequences. With the availability of devices and hardware, transcatheter closure is gradually replacing surgical one. Till now, most of closures have been performed by Amplatzer duct occluder. To the best of our knowledge, the present case is first to be reported with this rare defect undergoing successful transcatheter closure of largest ruptured sinus of Valsalva aneurysm arising from right coronary sinus by using 20/18 mm Cocoon Duct Occluder (Vascular Innovations, Nonthaburi, Thailand).
Keywords
sinus of Valsalva aneurysm, Amplatzer duct occluder, Cocoon Duct Occluder, transcatheter interruption
About this articleTitle
Successful transcatheter closure of very large ruptured sinus of Valsalva aneurysm
Journal
Issue
Article type
Case report
Pages
13-16
Published online
2017-05-12
Page views
1197
Article views/downloads
1404
DOI
10.5603/AA.2017.0005
Bibliographic record
Acta Angiologica 2017;23(1):13-16.
Keywords
sinus of Valsalva aneurysm
Amplatzer duct occluder
Cocoon Duct Occluder
transcatheter interruption
Authors
Santosh Kumar Sinha
Narendra Khanna
Vikas Mishra
Mahdula Razi
Karandeep Singh
Ramesh Thakur
Vinay Krishna
Chandra Mohan Varma
References (8)- Edwards JE, Burchell HB. The pathological anatomy of deficiencies between the aortic root and the heart, including aortic sinus aneurysms. Thorax. 1957; 12(2): 125–139.
- Sakakibara S, Konno S. Congenital aneurysm of the sinus of Valsalva. Anatomy and classification. Am Heart J. 1962; 63: 405–424.
- Sakakibara S, Konno S. Congenital aneurysms of sinus of Valsalva. A clinical study. Am Heart J. 1962; 63: 708–719.
- Sakakibara S, Konno S. Congenital aneurysm of the sinus of Valsalva associated with ventricular septal defect. Anatomical aspects. Am Heart J. 1968; 75(5): 595–603.
- Viktorsson TV, Arnorsson T, Sigurdsson MI, et al. A giant unruptured aneurysm of the sinus of Valsalva together with ectasia of the left coronary artery. Ann Thorac Surg. 2011; 92(1): 354–356.
- Moustafa S, Mookadam F, Cooper L, et al. Sinus of Valsalva aneurysms – 47 years of a single center experience and systematic overview of published reports. Am J Cardiol. 2007; 99(8): 1159–1164.
- Arora R, Trehan V, Rangasetty U, et al. Transcatheter closure of ruptured sinus of Valsalva aneurysm. J Interv Cardiol. 2004; 17(1): 53–58.
- Kerkar P, Suvarna T, Burkule N, et al. Transcatheter closure of ruptured sinus of Valsalva aneurysm using the Amplatzer duct occluder in a critically ill post-CABG patient. J Invasive Cardiol. 2007; 19(6): E169–E171.