open access

Vol 14, No 2 (2019)
Case Reports
Published online: 2019-05-22
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Transcatheter closure of a large ruptured sinus of Valsalva aneurysm to right ventricle — technical challenges

Santosh Kumar Sinha, Mahmodula Razi, Kumar Himanshu, Anupam Singh, Puneet Aggarwal
DOI: 10.5603/FC.2019.0036
·
Folia Cardiologica 2019;14(2):179-184.

open access

Vol 14, No 2 (2019)
Case Reports
Published online: 2019-05-22

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). 

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). 
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Keywords

sinus of Valsalva aneurysm; right ventricle; Amplatzer duct occluder; Cocoon duct occluder; transcatheter closure

About this article
Title

Transcatheter closure of a large ruptured sinus of Valsalva aneurysm to right ventricle — technical challenges

Journal

Folia Cardiologica

Issue

Vol 14, No 2 (2019)

Pages

179-184

Published online

2019-05-22

DOI

10.5603/FC.2019.0036

Bibliographic record

Folia Cardiologica 2019;14(2):179-184.

Keywords

sinus of Valsalva aneurysm
right ventricle
Amplatzer duct occluder
Cocoon duct occluder
transcatheter closure

Authors

Santosh Kumar Sinha
Mahmodula Razi
Kumar Himanshu
Anupam Singh
Puneet Aggarwal

References (7)
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  5. ARORA R, TREHAN V, RANGASETTY U, et al. Transcatheter Closure of Ruptured Sinus of Valsalva Aneurysm. Journal of Interventional Cardiology. 2004; 17(1): 53–58.
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