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

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 f...

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Main Authors: Khalfan S. Al-Senaidi, Abdullah Al-Farqani, Madan Maddali, Salim Al-Maskary
Format: Article
Language:English
Published: Sultan Qaboos University 2016-11-01
Series:Sultan Qaboos University Medical Journal
Subjects:
Online Access:https://journals.squ.edu.om/index.php/squmj/article/view/2196
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author Khalfan S. Al-Senaidi
Abdullah Al-Farqani
Madan Maddali
Salim Al-Maskary
author_facet Khalfan S. Al-Senaidi
Abdullah Al-Farqani
Madan Maddali
Salim Al-Maskary
author_sort Khalfan S. Al-Senaidi
collection DOAJ
description 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.
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spelling doaj.art-0be8f120cccb4fec9507c20a98026fca2022-12-22T01:10:12ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282016-11-0116451151510.18295/squmj.2016.16.04.0202116Transcatheter Closure of Ruptured Sinus of Valsalva Aneurysm : Report of two casesKhalfan S. Al-Senaidi0Abdullah Al-Farqani1Madan Maddali2Salim Al-Maskary3Department of Child Health, Sultan Qaboos University Hospital, Muscat, OmanDepartments of Paediatric Cardiology, Royal Hospital, Muscat, OmanDepartments of Anaesthesia, Royal Hospital, Muscat, OmanDepartments of Paediatric Cardiology, Royal Hospital, Muscat, OmanA 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.https://journals.squ.edu.om/index.php/squmj/article/view/2196sinus of valsalvaruptured aneurysmcardiac catheterizationthree-dimensional echocardiographycase reportoman.
spellingShingle Khalfan S. Al-Senaidi
Abdullah Al-Farqani
Madan Maddali
Salim Al-Maskary
Transcatheter Closure of Ruptured Sinus of Valsalva Aneurysm : Report of two cases
Sultan Qaboos University Medical Journal
sinus of valsalva
ruptured aneurysm
cardiac catheterization
three-dimensional echocardiography
case report
oman.
title Transcatheter Closure of Ruptured Sinus of Valsalva Aneurysm : Report of two cases
title_full Transcatheter Closure of Ruptured Sinus of Valsalva Aneurysm : Report of two cases
title_fullStr Transcatheter Closure of Ruptured Sinus of Valsalva Aneurysm : Report of two cases
title_full_unstemmed Transcatheter Closure of Ruptured Sinus of Valsalva Aneurysm : Report of two cases
title_short Transcatheter Closure of Ruptured Sinus of Valsalva Aneurysm : Report of two cases
title_sort transcatheter closure of ruptured sinus of valsalva aneurysm report of two cases
topic sinus of valsalva
ruptured aneurysm
cardiac catheterization
three-dimensional echocardiography
case report
oman.
url https://journals.squ.edu.om/index.php/squmj/article/view/2196
work_keys_str_mv AT khalfansalsenaidi transcatheterclosureofrupturedsinusofvalsalvaaneurysmreportoftwocases
AT abdullahalfarqani transcatheterclosureofrupturedsinusofvalsalvaaneurysmreportoftwocases
AT madanmaddali transcatheterclosureofrupturedsinusofvalsalvaaneurysmreportoftwocases
AT salimalmaskary transcatheterclosureofrupturedsinusofvalsalvaaneurysmreportoftwocases