Transcatheter Closure of Ruptured Sinus of Valsalva Aneurysm : Report of two cases

Autor: Khalfan S. Al-Senaidi, Abdullah Al-Farqani, Madan Maddali, Salim Al-Maskary
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Sultan Qaboos University Medical Journal, Vol 16, Iss 4, Pp 511-515 (2016)
Druh dokumentu: article
ISSN: 2075-051X
2075-0528
DOI: 10.18295/squmj.2016.16.04.020
Popis: 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.
Databáze: Directory of Open Access Journals