TY - JOUR
T1 - Transcatheter closure of ruptured sinus of valsalva aneurysm
T2 - Report of two cases
AU - Al-Senaidi, Khalfan S.
AU - Al-Farqani, Abdullah
AU - Maddali, Madan
AU - Al-Maskary, Salim
N1 - Publisher Copyright:
© 2016, Sultan Qaboos University. All rights reserved.
PY - 2016/11
Y1 - 2016/11
N2 - 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.
AB - 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.
KW - Cardiac catheterization
KW - Case report
KW - Oman
KW - Ruptured aneurysm
KW - Sinus of valsalva
KW - Three-dimensional echocardiography
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U2 - 10.18295/squmj.2016.16.04.020
DO - 10.18295/squmj.2016.16.04.020
M3 - Article
C2 - 28003903
AN - SCOPUS:85000936569
SN - 2075-051X
VL - 16
SP - e511-e515
JO - Sultan Qaboos University Medical Journal
JF - Sultan Qaboos University Medical Journal
IS - 4
ER -