Percutaneous closure of ruptured noncoronary sinus of Valsalva to right atrium causing severe right heart failure, a case report
| Autor: | Hesham Abdo Naeim, Waleed Saeed, Abeer Sabri Mahmoud, Elsayed A. Taha, Reda Abuelatta, Lamiaa Khedr |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Percutaneous 030204 cardiovascular system & hematology Article 03 medical and health sciences 0302 clinical medicine Aneurysm Internal medicine medicine.artery medicine Pericardium cardiovascular diseases 030212 general & internal medicine Coronary sinus Aorta business.industry medicine.disease Shunt (medical) medicine.anatomical_structure Heart failure cardiovascular system Heart murmur Cardiology medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiology Cases. 21:71-74 |
| ISSN: | 1878-5409 |
| DOI: | 10.1016/j.jccase.2019.10.005 |
| Popis: | In all young and middle-aged patients presenting with symptoms of acute heart failure and new heart murmurs, sinus of Valsalva aneurysm (SVA) rupture should be considered in the differential diagnosis. Most of SVAs rupture into the right side of the heart. Percutaneous closure is a less invasive alternative to surgery. A 25-year-old man presented with shortness of breath New York Heart Association class III of nine months’ duration with a progressive course. He had a continuous murmur with maximum intensity over the left sternal border and propagated all over the pericardium. Chest radiographs revealed moderate congestion. Transthoracic and transesophageal echocardiograms with 3D imaging revealed a shunt between the ruptured noncoronary SVA and the right atrium. Percutaneous closure decided; the wire passed from superior vena caca through the ruptured sinus to the aorta. The distal disc of the device deployed in the aorta and the proximal disc in the right atrium. The ruptured aneurysm closed with no more flow to the right atrium. The patient was discharged from the hospital after two days. In conclusion, device closure of ruptured coronary sinus to the right atrium is feasible and safe. Surgery should be reserved for patients with failed device closure. |
| Databáze: | OpenAIRE |
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