Transcatheter Closure of Ruptured Sinus of Valsalva Aneurysm Report of two cases
Journal Title: Sultan Qaboos University Medical Journal - Year 2016, Vol 16, Issue 4
Abstract
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. Te frst case was a 45-year-old female who presented to the Royal Hospital, Muscat, Oman, in 2014 with a RSVA in the right ventricle. Te 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 signifcant shunt. Transcatheter closure of RSVAs is an effective alternative to surgical repair, although large multifenestrated RSVAs should be repaired surgically to ensure complete closure.
Authors and Affiliations
Khalfan S. Al-Senaidi| Department of Child Health, Sultan Qaboos University Hospital, Muscat, Oman, Abdullah Al-Farqani| Departments of Paediatric Cardiology, Royal Hospital, Muscat, Oman, Madan Maddali| Departments of Anaesthesia, Royal Hospital, Muscat, Oman, Salim Al-Maskary| Departments of Paediatric Cardiology, Royal Hospital, Muscat, Oman
Keywords
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