Transcatheter closure of Type I ruptured right sinus of Valsalva aneurysm

Abstract

Transcatheter closure (TCC) of ruptured sinus of Valsalva aneurysm (RSOVA) is as an alternative strategy to surgery. Its location, size, and relation to neighboring structures decide treatment plan. We present a 17-year-old young man who presented with the New York Heart Association II shortness of breath for last 2 months. Two-dimensional echocardiography revealed RSOVA of right coronary sinus into right ventricular outflow tract, Seller's II aortic valve regurgitation, and small subaortic ventricular septal defect. The echo estimated size of the defect was 9 mm on the aortic side. Echo was complemented by computed tomography. The defect was crossed retrogradely and was plugged antegradely using an Amplatzer duct occluder (ADO). At 1 year follow-up, ADO was across RSOVA without any residual shunt. TCC of RSOVA is feasible and effective with the support of multiple imaging methods.