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Published in: Cardiovascular Intervention and Therapeutics 1/2015

01-01-2015 | Case Report

Device sizing for transcatheter closure of ruptured sinus of Valsalva as per echocardiography color Doppler turbulent flow jet diameter

Authors: Khurshid Ahmed, Muhammad Munawar, Rabin Chakraborty, Beny Hartono, Achmad Yusri

Published in: Cardiovascular Intervention and Therapeutics | Issue 1/2015

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Abstract

Rupture of sinus of Valsalva (SV) is a rare occurrence with a wide spectrum of presentation, ranging from an asymptomatic murmur to cardiogenic shock or even sudden cardiac death. We hereby report a case which was successfully closed by transcatheter technique. In this case, ruptured SV was entered from the aorta, an arteriovenous loop was created and device was implanted using a venous approach. The procedure was safe, effective and uncomplicated, obviating the need for surgery. In this case, the authors report for the first time the use of echo color Doppler turbulent flow jet diameter as a reference value for sizing the device.
Literature
1.
go back to reference Ott DA. Aneurysm of the sinus of Valsalva. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2006;165–76. Ott DA. Aneurysm of the sinus of Valsalva. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2006;165–76.
2.
go back to reference Caballero J, Arana R, Calle G, Caballero FJ, Sancho M, Pinero C. Congenital aneurysm of the sinus of Valsalva ruptured to right ventricle with a ventricular septal defect and aortic regurgitation. Rev Esp Cardiol. 1999;52:635–8.PubMedCrossRef Caballero J, Arana R, Calle G, Caballero FJ, Sancho M, Pinero C. Congenital aneurysm of the sinus of Valsalva ruptured to right ventricle with a ventricular septal defect and aortic regurgitation. Rev Esp Cardiol. 1999;52:635–8.PubMedCrossRef
3.
go back to reference Vautrin E, Barone-Rochette G, Baguet JP. Rupture of right sinus of Valsalva into right atrium: ultrasound, magnetic resonance, angiography and surgical imaging. Arch Cardiovasc Dis. 2008;101:501–2.PubMedCrossRef Vautrin E, Barone-Rochette G, Baguet JP. Rupture of right sinus of Valsalva into right atrium: ultrasound, magnetic resonance, angiography and surgical imaging. Arch Cardiovasc Dis. 2008;101:501–2.PubMedCrossRef
4.
go back to reference Hamid IA, Jothi M, Rajan S, Monro JL, Cherian KM. Transaortic repair of ruptured aneurysm of sinus of Valsalva. Fifteen-year experience. J Thorac Cardiovasc Surg. 1994;107:1464–8.PubMed Hamid IA, Jothi M, Rajan S, Monro JL, Cherian KM. Transaortic repair of ruptured aneurysm of sinus of Valsalva. Fifteen-year experience. J Thorac Cardiovasc Surg. 1994;107:1464–8.PubMed
6.
go back to reference Cullen S, Vogel M, Deanfield JE, Redington AN. Images in cardiovascular medicine. Rupture of aneurysm of the right sinus of Valsalva into the right ventricular outflow tract: treatment with Amplatzer atrial septal occluder. Circulation. 2002;105:E1–2.PubMedCrossRef Cullen S, Vogel M, Deanfield JE, Redington AN. Images in cardiovascular medicine. Rupture of aneurysm of the right sinus of Valsalva into the right ventricular outflow tract: treatment with Amplatzer atrial septal occluder. Circulation. 2002;105:E1–2.PubMedCrossRef
7.
go back to reference Rao PS, Bromberg BI, Jureidini SB, Fiore AC. Transcatheter occlusion of ruptured sinus of valsalva aneurysm: innovative use of available technology. Catheter Cardiovasc Interv. 2003;58:130–4.PubMedCrossRef Rao PS, Bromberg BI, Jureidini SB, Fiore AC. Transcatheter occlusion of ruptured sinus of valsalva aneurysm: innovative use of available technology. Catheter Cardiovasc Interv. 2003;58:130–4.PubMedCrossRef
8.
go back to reference Fedson S, Jolly N, Lang RM, Hijazi ZM. Percutaneous closure of a ruptured sinus of Valsalva aneurysm using the Amplatzer Duct Occluder. Catheter Cardiovasc Interv. 2003;58:406–11.PubMedCrossRef Fedson S, Jolly N, Lang RM, Hijazi ZM. Percutaneous closure of a ruptured sinus of Valsalva aneurysm using the Amplatzer Duct Occluder. Catheter Cardiovasc Interv. 2003;58:406–11.PubMedCrossRef
9.
go back to reference Arora R, Trehan V, Rangasetty UM, Mukhopadhyay S, Thakur AK, Kalra GS. Transcatheter closure of ruptured sinus of Valsalva aneurysm. J Interv Cardiol. 2004;17:53–8.PubMedCrossRef Arora R, Trehan V, Rangasetty UM, Mukhopadhyay S, Thakur AK, Kalra GS. Transcatheter closure of ruptured sinus of Valsalva aneurysm. J Interv Cardiol. 2004;17:53–8.PubMedCrossRef
10.
go back to reference Edwards JE, Burchell HB. The pathological anatomy of deficiencies between the aortic root and the heart, including aortic sinus aneurysms. Thorax. 1957;12:125–39.PubMedCentralPubMedCrossRef Edwards JE, Burchell HB. The pathological anatomy of deficiencies between the aortic root and the heart, including aortic sinus aneurysms. Thorax. 1957;12:125–39.PubMedCentralPubMedCrossRef
11.
go back to reference Missault L, Callens B, Taeymans Y. Echocardiography of sinus of Valsalva aneurysm with rupture into the right atrium. Int J Cardiol. 1995;47:269–72.PubMedCrossRef Missault L, Callens B, Taeymans Y. Echocardiography of sinus of Valsalva aneurysm with rupture into the right atrium. Int J Cardiol. 1995;47:269–72.PubMedCrossRef
12.
go back to reference Walters MI, Ettles D, Guvendik L, Kaye GC. Interventricular septal expansion of a sinus of Valsalva aneurysm: a rare cause of complete heart block. Heart. 1998;80:202–3.PubMedCentralPubMedCrossRef Walters MI, Ettles D, Guvendik L, Kaye GC. Interventricular septal expansion of a sinus of Valsalva aneurysm: a rare cause of complete heart block. Heart. 1998;80:202–3.PubMedCentralPubMedCrossRef
13.
go back to reference Sher RF, Kimbiris D, Segal BL, Iskandrian AS, Bemis CE. Aneurysm of the sinus of Valsalva: its natural history. Postgrad Med. 1979;65:191–3.PubMed Sher RF, Kimbiris D, Segal BL, Iskandrian AS, Bemis CE. Aneurysm of the sinus of Valsalva: its natural history. Postgrad Med. 1979;65:191–3.PubMed
14.
go back to reference Shah RP, Ding ZP, Ng AS, Quek SS. A ten-year review of ruptured sinus of Valsalva: clinico-pathological and echo-Doppler features. Singap Med J. 2001;42:473–6. Shah RP, Ding ZP, Ng AS, Quek SS. A ten-year review of ruptured sinus of Valsalva: clinico-pathological and echo-Doppler features. Singap Med J. 2001;42:473–6.
15.
go back to reference Takach TJ, Reul GJ, Duncan JM, et al. Sinus of Valsalva aneurysm or fistula: management and outcome. Ann Thorac Surg. 1999;68:1573–7.PubMedCrossRef Takach TJ, Reul GJ, Duncan JM, et al. Sinus of Valsalva aneurysm or fistula: management and outcome. Ann Thorac Surg. 1999;68:1573–7.PubMedCrossRef
16.
17.
go back to reference Tsamis A, Krawiec JT, Vorp DA. Elastin and collagen fibre microstructure of the human aorta in ageing and disease: a review. J R Soc Interface. 2013;10:20121004.PubMedCentralPubMedCrossRef Tsamis A, Krawiec JT, Vorp DA. Elastin and collagen fibre microstructure of the human aorta in ageing and disease: a review. J R Soc Interface. 2013;10:20121004.PubMedCentralPubMedCrossRef
Metadata
Title
Device sizing for transcatheter closure of ruptured sinus of Valsalva as per echocardiography color Doppler turbulent flow jet diameter
Authors
Khurshid Ahmed
Muhammad Munawar
Rabin Chakraborty
Beny Hartono
Achmad Yusri
Publication date
01-01-2015
Publisher
Springer Japan
Published in
Cardiovascular Intervention and Therapeutics / Issue 1/2015
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI
https://doi.org/10.1007/s12928-014-0257-5

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