Vol 14, No 2 (2019)
Case report
Published online: 2019-05-22
Transcatheter closure of a large ruptured sinus of Valsalva aneurysm to right ventricle — technical challenges
DOI: 10.5603/FC.2019.0036
Folia Cardiologica 2019;14(2):179-184.
Abstract
Sinus of Valsalva aneurysm, usually a congenital anomaly, almost always ruptures into the right sided cardiac chambers, causing a left-to-right shunt with profound haemodynamic consequences. With the availability of the current genera- tion of devices and hardware, transcatheter closure has gradually replaced the surgical route. To date, most closures have been performed using an Amplatzer duct occluder (ADO). Here, we report the case of a 21 year-old male where a very large (18 mm) rupture of a sinus of Valsalva aneurysm from non-coronary cusp to right ventricle was closed by a percutaneous approach using a 20/18 mm Cocoon duct occluder (CDO; Vascular Innovations, Nonthaburi, Thailand).
Keywords: sinus of Valsalva aneurysmright ventricleAmplatzer duct occluderCocoon duct occludertranscatheter closure
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