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Transcatheter Closure of Ruptured Sinus of Valsalva Aneurysm Into the Left Ventricle: A Retrograde Approach

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Abstract

Aneurysms of sinuses of Valsalva (ASOV) are thin-walled saccular or tubular outpouchings of the aortic sinuses, which can be either congenital or acquired. They can rupture into heart chambers, the pulmonary artery, or the pericardial space (Perloff, Clinical recognition of congenital heart disease, [8]). This report presents a rare case of a patient with treated infective endocarditis who had a patent ductus arteriosus (PDA), a coronary cameral fistula, and a ruptured ASOV (RASOV) into the left ventricle (LV). Successful transcatheter closure of the ruptured ASOV and the other two lesions was performed using three Amplatzer duct occluders (AGA Medical Corporation, Golden Valley, MN, USA).

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Correspondence to Anurakti Srivastava.

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Video 1 Left main coronary artery (LMCA) to the right atrium (RA) fistula closed by a 6 × 4 duct occluder (AVI 2062 kb)

246_2011_127_MOESM2_ESM.avi

Video 2 Aortic root angiogram showing a ruptured aneurysm of the sinuses of Valsalva (RASOV) involving the left coronary sinus (LCS) into the left ventricle (LV) (AVI 4471 kb)

Video 3 Aortic root angiogram showing the device in a good position with no residual flow (AVI 1300 kb)

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Srivastava, A., Radha, A.S. Transcatheter Closure of Ruptured Sinus of Valsalva Aneurysm Into the Left Ventricle: A Retrograde Approach. Pediatr Cardiol 33, 347–350 (2012). https://doi.org/10.1007/s00246-011-0127-1

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  • DOI: https://doi.org/10.1007/s00246-011-0127-1

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