Abstract
ABSTRACT The authors report on two patients whose congenital sinus of Valsalva aneurysms had ruptured into the right ventricle and were successfully occluded percutaneously. Three different devices were implanted using two different approaches. Percutaneous closure warranted that one patent ductus arteriosus occluder through a transvenous antegrade approach and that one coil plus one ventricular septal defect occluder were implanted through an arterial retrograde approach. The procedures were accomplished without complications, the devices were well positioned at angiography and echocardiography views [...]
Highlights
Congenital sinus of Valsalva aneurysm (SVA) is a rare condition with higher prevalence in Asian compared to Caucasian populations (1.2 to 4.5% and 0.14 to 1.5%, respectively).[1]
Aneurysm rupture rates differ according to affected sinus (RCS, 60%; non-coronary sinus (NCS), 42% and left coronary sinus (LCS), 10%), according to a Texas Heart Institute study.[6]
In a modification of the classification proposed by Sakakibara et al, Xin-Jin et al included only congenital aneurysms and assumed LCS aneurysms to be acquired.[8]
Summary
Jorge Haddad[1], André Badran[1], Rafael Pavão[1], Oswaldo Almeida Filho[1], André Schmidt[1], José Antônio Marin Neto[1]. Oclusão percutânea de aneurisma roto do seio de Valsalva para dentro do ventrículo direito. At 6-month follow-up patients were asymptomatic, with devices in stable position without residual shunt. RESUMO – Os autores relatam dois casos de pacientes com aneurismas congênitos do seio de Valsalva, que romperam para dentro do ventrículo direito e foram ocluídos por via percutânea, com sucesso. O fechamento percutâneo justificou o implante de um dispositivo oclusor de canal arterial persistente, com abordagem transvenosa anterógrada, e de um coil mais um oclusor de comunicação interventricular, por via arterial retrógrada. Com os dispositivos em posição estável, sem shunt residual, após 6 meses de seguimento
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