Transcatheter closure of ruptured sinus of Valsalva: Different techniques and mid‐term follow‐up

Abstract

Different approaches and devices may be used for transcatheter closure of RSOV. We prefer antegrade closure using duct occluders in most cases while muscular VSD occluders may be used in select situations. ADO II devices should hardly ever be used on their own for device closure of RSOV.

Peratrial Device Closure of Ruptured Sinus of Valsalva Aneurysm Into Right Atrium

“…The conventional treatments of RSVA mainly include surgical repair and transcatheter closure. Transcatheter closure has emerged as a promising alternative to surgical repair in recent years [1,2]. However, this technique is performed using roentgenograms, which cannot delineate the anatomy adjacent to the RSVA accurately.…”

Interventional Closure of a Ruptured Sinus of Valsalva with a Konar-Multifunctional Device

“…Alternatively, ventricular septal defect or other devices can be deployed, depending on the location and size of the fistula. 8 The Konar MF device was able to be deployed from the aortic side, allowing the assessment of tricuspid valve function throughout the delivery process. The body of a duct occluder would have protruded into the right atrium and would have been attached to the delivery cable from this side also.…”

Percutaneous Closure of Ruptured Sinus of Valsalva Aneurysm in a Child Using a Patent Ductus Arteriosus Device

“…Sinus of Valsalva aneurysm is a rare cardiac pathology with a tendency to rupture which usually manifests as chest pain and acute heart failure in most cases due to the occurrence of cardiac tamponade, arrhythmias, RVOT obstruction, or myocardial ischemia. 2 The aneurysm arises most frequently from the right coronary sinus and ruptures most commonly in the RV and right atrium. There is a high incidence of associated VSD and less frequent association with aortic insufficiency.…”

“…Nevertheless, descriptions of this technique and long-term follow-up in children are scarce in the literature. 1–3…”