Percutaneous device closure of a ruptured sinus of valsalva presenting in acute heart failure

Abstract

Aneurysms of sinus of valsalva are rare cardiac abnormalities1. Following rupture it presents with acute heart failure. Definitive treatment is surgical or device closure 2. A 25-year-old female presented with decompensated cardiac failure following a ruptured sinus of valsalva aneurysm (RSOVA). She underwent percutaneous device closure at the Cardiology Unit of the National Hospital of Sri Lanka (NHSL) and had an uneventful follow up for one year. This is the first successful closure of a RSOVA by a Sri Lankan team of cardiologists. The procedure is safe and feasible and can be performed with available facilities in selected patients.